PROFESSIONAL LICENSING APPEAL – OHIO

CAPTION

Before [Agency/Board or Court of Common Pleas]
[LICENSEE NAME], Appellant,
v.
[AGENCY/BOARD NAME], Appellee.

INTRODUCTION

• Appeal of [Denial/Discipline/Suspension/Revocation] of [License Type] dated [DATE].

JURISDICTION AND TIMELINESS

• Filed pursuant to R.C. 119.12 within fifteen (15) days of mailing of the Adjudication Order dated [DATE]; exhaustion of administrative remedies satisfied.

VENUE

• Venue proper in [Franklin County Court of Common Pleas / Appellant’s county of residence] under R.C. 119.12.

ASSIGNMENTS OF ERROR

1. The Agency’s Order is not supported by reliable, probative, and substantial evidence.
2. The Agency’s Order is not in accordance with law because [SPECIFY].
3. [Additional errors].

STANDARD OF REVIEW

• Under R.C. 119.12(M), the Court may affirm the Order if supported by reliable, probative, and substantial evidence and in accordance with law, or may reverse, vacate, modify, or remand.

ISSUES PRESENTED

• [Issue 1]
• [Issue 2] (as needed)

STATEMENT OF FACTS

• Timeline of application/discipline, notices, hearing findings.

ERRORS AND ARGUMENT

• Decision unsupported by reliable, probative, and substantial evidence; errors of law under [cite].
• Due process issues if applicable.

RELIEF REQUESTED

• Reverse/modify the Order; reinstate or grant license; remand if needed; stay requested [Yes/No].

REQUEST FOR CERTIFIED RECORD

• Appellant requests that [AGENCY] certify and transmit the complete administrative record within thirty (30) days pursuant to R.C. 119.12.

EXHIBITS

• Decision/order; transcript excerpts; affidavits; key record exhibits.

SERVICE

• Copies served on [Agency Name/Address] and the Ohio Attorney General at [Address] pursuant to R.C. 119.12.

SIGNATURE

[Name, Bar No.]
[Address, Email, Phone]
Counsel for [LICENSEE]