Motion For Judicial Review Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Motion For Judicial Review Form. This is a Kansas form and can be use in 3rd Judicial District (Shawnee County) Local District Court.
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Tags: Motion For Judicial Review, Kansas Local District Court, 3rd Judicial District (Shawnee County)
F 3.405(Y)
IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSAS
DIVISION _____
______________________________
[CAPTION]
vs.
______________________________
)
)
)
)
)
)
)
Case No.
Document No. _____________
MOTION FOR JUDICIAL REVIEW
COMES NOW the __________________ and moves the Court for a judicial hearing
relative to the Administrative Hearing Officer's recommended order filed _________________,
200____, for the following reason(s);
1. ___________________________________________________________________
______________________________________________________________________; and
2. __________________________________________________________________
__________________________________________________________________________.
________________________________
Petitioner/Respondent
________________________________
Address
________________________________
Telephone Number
CERTIFICATE OF MAILING
I certify that a copy of the Motion for Judicial Review, filed ________________,
_______, was mailed or delivered on this _________ day of ___________________, 20___ to
the following:
_______________________________
Clerk of the District Court
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