§1.ILLUSTRATION B. Petition For Reconsideration

 

(DATE)

 

Director

Department of Agriculture

State Fairgrounds

Springfield, Illinois  62706

 

PETITION FOR RECONSIDERATION

DOCKET NO.

 

            The undersigned submits this petition for reconsideration of the decision of the administrative law judge.

 

A)        Decision Involved.  (A concise statement of the decision of the administrative law judge which the petitioner wishes to have reconsidered.)

 

B)        Action Requested.  (The decision which the petitioner requests the Director to make upon reconsideration of the matter.)

 

C)        Statement of Grounds. (A full statement of the factual and legal grounds upon which the petitioner relies.  Such grounds shall demonstrate that relevant data, information and views contained in the administrative record were not previously or not adequately considered by the administrative law judge.)

 

Very truly yours,

 

 

 

(Signature)

(Complete Mailing Address)

(Telephone Number)

 

(Source:  Amended at 16 Ill. Reg. 15850, effective October 5, 1992)