NOTICE OF APPEAL OF ADMINISTRATIVE DECISION

COURT OF COMMON PLEAS OF [COUNTY] COUNTY, OHIO

Case No.: _________________

[PETITIONER],
Appellant,

v.

[RESPONDENT STATE AGENCY],
Appellee.

1. INTRODUCTION

This Notice of Appeal seeks judicial review of Appellee's final decision dated [DATE] imposing [DESCRIBE PENALTY/ORDER] against Appellant, pursuant to Ohio Rev. Code 119.12.

2. JURISDICTION AND VENUE

• Jurisdiction under Ohio Rev. Code 119.12.
• Venue is proper in this Court.
• This Notice of Appeal is timely filed within 15 days of the mailing of the final agency order per Ohio Rev. Code 119.12.

3. PARTIES

• Appellant [NAME] is a [ENTITY TYPE] with its principal place of business at [ADDRESS].
• Appellee [AGENCY] is a state administrative agency.

4. EXHAUSTION OF ADMINISTRATIVE REMEDIES

• Appellant participated fully in the underlying agency proceeding.
• All administrative remedies are exhausted.

5. STATEMENT OF FACTS

[Provide chronological narrative of proceedings.]

6. GROUNDS FOR RELIEF (Ohio Rev. Code 119.12)

• The order is not supported by reliable, probative, and substantial evidence.
• The order is not in accordance with law.

7. PRAYER FOR RELIEF

WHEREFORE, Appellant respectfully prays:
A. For an order vacating the Decision;
B. For an order remanding for further proceedings;
C. For injunctive relief and stay of enforcement pending review;
D. For costs and reasonable attorney's fees as permitted by law;
E. For such other relief as the Court deems just.

8. SIGNATURE BLOCK

Respectfully submitted,

[LAW FIRM NAME]
Attorneys for Appellant

By: ___________________________________
[ATTORNEY NAME]
Bar No. [####]
[ADDRESS]
[PHONE] | [EMAIL]

Dated: ____________________