All forms
AdministrativepdfFederal
Administrative Appeal of Agency Decision
Appeal form challenging an adverse decision by a federal agency, seeking review by a higher authority within the same agency.
PDF TemplateUse the instructions below to complete this form
Instructions
Identify the original decision being appealed, including the date and decision-maker. State the specific grounds for appeal: error of fact, error of law, abuse of discretion, or new evidence. Attach a copy of the original decision. File within the deadline specified in the agency's regulations, typically 30 to 60 days. Request a hearing if one is available under the agency's rules.