Ill. Admin. Code tit. 80 § 1650.630
Current through Register Vol. 48, No. 45, November 8, 2024
A written request for an administrative review shall include the following information: the name and address of the petitioner; the name and address of his or her authorized representative if applicable; a complete explanation of the factual and/or legal basis for the request, including relevant documentation supporting the petitioner's position; and the relief sought by the petitioner.
Ill. Admin. Code tit. 80, § 1650.630
Amended at 25 Ill. Reg. 203, effective December 22, 2000