AdministrativepdfFederal

Interagency Referral Request

Request for one federal agency to refer a matter to another agency with concurrent or primary jurisdiction.

PDF TemplateUse the instructions below to complete this form

Instructions

Identify both the referring and receiving agencies. Describe the matter and explain why the receiving agency has jurisdiction or expertise. Attach all relevant documents and evidence. Note any applicable deadlines or statutes of limitations. The referring agency retains discretion over the referral and may continue its own proceedings.