Fillable Form 1: PTJR Petitioner, In Proper Person 2 (Civil Law Self-Help Center)

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Form 1: PTJR Petitioner, In Proper Person 2 (Civil Law Self-Help Center)

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@ Civil Law Self-Help Center
(Rev. 10-26-21)
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PTJR
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
__________________________________________
__________________________________________,
Petitioner,
vs.
EMPLOYMENT SECURITY DIVISION, STATE
OF NEVADA and LYNDA PARVEN in her
capacity as Administrator of the EMPLOYMENT
SECURITY DIVISION; J. THOMAS SUSICH, in
his capacity as Chairperson of the EMPLOYMENT
SECURITY DIVISION BOARD OF REVIEW, and
__________________________________________
__________________________________________,
as employer,
Respondents.
Case No.:
Dept. No.:
PETITION FOR JUDICIAL REVIEW
The Petitioner, ________________________________________, petitions the court to
review the decision of the State of Nevada Employment Security Division, dated
___________________________________, finding Petitioner ineligible for unemployment
benefits, and alleges as follows:
1. That the decision was not supported by substantial evidence;
@ Civil Law Self-Help Center
(Rev. 10-26-21)
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2. That the decision was arbitrary and capricious;
3. That the decision was marked by an abuse of discretion; and
4. That the decision was improper as a matter of law.
WHEREFORE, the Petitioner, ________________________________________, asks
for the following relief:
1. That the decision of the State of Nevada Employment Security Division be
reversed, and the Petitioner be determined to be eligible for unemployment benefit for which
he/she has applied.
2. That this court grant such other and further relief as may be just, equitable, and
proper.
DATED this ______ day of _________________________, 20___.
Respectfully submitted by:
_____________________________________________ (signature)
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Petitioner, In Proper Person
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Form 1: PTJR Petitioner, In Proper Person 2 (Civil Law Self-Help Center)

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Completed 29 June 2022

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