(for use by appellant/petitioner and appellee/respondent)
From what organization is a decision being appealed?
What is the specific decision that this organization made that is being appealed?
Please write a short and plain statement of facts surrounding the controversy.
Please write a demand for judgment for the specific relief this pleader seeks.
I HEREBY CERTIFY that I have read my answers, that there are legitimate grounds to support it,
and that it is submitted in good faith and not solely for delay.