LAC 43:XV.6791. Contents of Application

A. Any person filing an application for review shall incorporate in that application regarding each claim for relief: 1. a statement of facts entitling that person to administrative relief; 2. a request for specific relief; 3. a copy of any notice or order sought to be reviewed; 4. a statement as to whether the person requests or waives the opportunity for an evidentiary hearing; and 5. any other relevant information.