LAC 22:III.915. Privacy and Security Form Number 5

A. Appeals shall be perfected upon actual delivery to the privacy and security committee of a petition for review. The petition for review shall be signed and in writing and shall include a concise statement of the alleged deficiencies or inaccuracies of the individual's criminal history record, shall state the date and result of any review by the criminal justice agency, and shall be accompanied by a sworn verification of the facts alleged in the petition for review. LCLE-Privacy and Security Form Number 5 may be used for perfecting the appeal.