(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)
Ill. Admin. Code tit. 8, pt. 1, subpt. E, ILLUSTRATION B
Amended at 16 Ill. Reg. 15850, effective October 5, 1992