PETITION FOR JUDICIAL REVIEW OF LICENSING DECISION

CAPTION

SUPERIOR COURT OF WASHINGTON, [COUNTY] COUNTY
[PETITIONER/LICENSEE], Petitioner,
v.
[AGENCY/BOARD NAME], Respondent.
Case No.: [___]

INTRODUCTION

• Petition for judicial review under the Washington Administrative Procedure Act (RCW 34.05.510 et seq.) challenging Respondent's [Denial/Discipline/Suspension/Revocation] of [License Type] issued [DATE].

JURISDICTION, VENUE, AND TIMELINESS

• Jurisdiction under the Washington Administrative Procedure Act (RCW 34.05.510-34.05.598); venue proper in [County].
• Petition timely under RCW 34.05.542 (30 days from service of final agency action).
• Administrative remedies exhausted (RCW 34.05.534).

PARTIES

• Petitioner [Name], license number [___].
• Respondent [Agency/Board], state agency located in [County/City].

PROCEDURAL HISTORY

• Summary of accusation/notice, hearing date(s), ALJ initial order, agency final order, and service of final order on [DATE].

STANDARD AND GROUNDS (RCW 34.05.570)

• The court shall grant relief if it determines that the agency has: (1) violated constitutional provisions; (2) acted outside statutory authority; (3) engaged in unlawful procedure; (4) made an erroneous interpretation of law; (5) acted arbitrarily or capriciously; (6) issued an order not supported by substantial evidence; or (7) taken action inconsistent with a rule of the agency.
• [Tailor to record].

ALLEGATIONS (SUMMARY)

• [Facts showing evidentiary gaps, legal errors, bias, or procedural defects].

RELIEF REQUESTED

• Issue order directing Respondent to vacate the order and [reinstate license/issue license/remand].
• Stay enforcement pending review (RCW 34.05.550).
• Costs and other relief as just.

VERIFICATION AND SIGNATURE

• Signature of Petitioner/counsel; proof of service on Respondent and Attorney General.