Georgia Professional Regulation Reform Act - Appellant Action Form

Pursuant to the Georgia Professional Regulation Reform Act, O.C.G.A. §43-1C-1, et seq., the Governor is vested with the duty to "actively supervise the professional licensing boards of this state." If you wish to challenge a rule or any action of a professional licensing board pursuant to the Georgia Professional Regulation Reform Act, please complete and submit the following form.

Licensing Board Name: (required)

Appellant Name: (required)

Preferred Email Contact: (required)

Preferred Phone Contact: (required)

Challenge of:

Proposed Rule(s)

Existing Rule(s)

Other Action

Rule Number(s): (required)

Concise Statement of Relevant Facts and Circumstances: (required)

May be attached below as a PDF if over 200 words in length.

Attachments:

One file only.
2 MB limit.
Allowed types: jpg, txt, rtf, doc, docx, ppt.

Submission instructions

All submissions regarding Board Rules should also include by attachment the Notice of the proposed Rule, the proposed Rule, Rule Synopsis, any ''concise statement of the principal reason for and against [the Rule's] adoption'' produced by the Board pursuant to O.C.G.A. §50-13-4(a)(2), and copies of any written or oral ''data, views, or arguments'' presented to the Board.

All submissions regarding other Actions should include written record of the Action and any other relevant material.

Mail in

Alternatively, you may download this form and mail it along with all relevant material to the address below.

Professional Regulation Appeals
Governor's Office of Planning and Budget
2 Capitol Square, Suite 519
Atlanta, Georgia 30334

Disclaimer

Important! Please redact or otherwise avoid submitting sensitive information such as social security numbers.

Georgia Professional Regulation Reform Act - Appellant Action Form

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