When a complaint has been investigated and it is determined that disciplinary action is necessary, the Board or Agency will move forward to implement the disciplinary action. This could include a letter of reprimand, probation, decree of censure, denial, civil penalties, suspension or revocation. An Agency may also make a decision that negatively effects the rights of the person. For example: a denial of insurance benefits, a substantiated claim of child or abuse abuse, the removal of a health care facility license. When a negative decision is determined the individual or facility has appeal rights. When a Board or Agency has decided to offer formal discipline as a result of their investigation of the complaint, the individual has the right to appeal the final decision. The subject of the complaint can either consent to the discipline by signing an agreement, or can request a hearing to appeal the decision.