Sample Letter # 1
NOTICE OF APPEAL
In the matter of:
(Name of the appellant)
(Complete address)
APPEAL FROM REFEREE’S DECISION,
(Account number) (Date)
This notice hereby given that a certain decision reached in the referenced matter above on the stated date in the (city), (State), (Zip code) a copy attached hereto and will set forth about the particulars in this
regard.
That the appellant alleges that the decision has an error on the part of the referee and appealing to the said decision on the grounds of:
(State grounds for appeal here)
Date: ____________________
___________________________
(Signature)
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Sample Letter # 2
NOTICE OF APPEAL
In the matter of
(name of petitioner)
(address)
(contact number)
APPEAL FROM THE EXECUTED DECISION:
(File number)
Notice hereby given that a final decision was completed involving the above ground/matter on (state date) in the City of
(city here), State of (state here), wherein a copy is made available to set into view the particular matters.
That petitioner believes that the executed decision has some mistakes made on the part of the deciding officer and now appealing to the decision due to the following grounds:
(Grounds for appeal)
Date of appeal: ____________________
___________________________
Petitioner
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Sample Letter # 3
NOTICE OF APPEAL FOR THE MISTAKE
In the exact matter of: (mention appeal)
From:(name of appellant)
(address)
APPEAL FROM REFEREE’S DECISION
(date)
This letter hereby notice that the revealed decision was able to reached involving the above stated matter on (date). The attached matter is informing the referee that there is a mistake to be corrected on this particular concern.
That person who is appealing understand that the mistake in the decision is not intentional by the referee and so it appeals to review the decision due to the following issues: (issues for appeal)
Date: ____________________
___________________________
(Signature)
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