28 USC App, FEDERAL RULES OF APPELLATE PROCEDURE, Form 3: Petition for Review of Order of an Agency, Board, Commission or Officer
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28 USC App, FEDERAL RULES OF APPELLATE PROCEDURE, Form 3: Petition for Review of Order of an Agency, Board, Commission or Officer
From Title 28-AppendixFEDERAL RULES OF APPELLATE PROCEDUREAPPENDIX OF FORMS
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Form 3. Petition for Review of Order of an Agency, Board, Commission or Officer

United States Court of Appeals

for the ________ Circuit


A.B., Petitioner

 v.

XYZ Commission,

}Petition for Review

Respondent


______(here name all parties bringing the petition) *______ hereby petition the court for review of the Order of the XYZ Commission (describe the order) entered on __________, 20__.

(s)__________________________,      

Attorney for Petitioners      

Address:__________________      

* See Rule 15.

(As amended Apr. 22, 1993, eff. Dec. 1, 1993; Mar. 27, 2003, eff. Dec. 1, 2003.)