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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*Public Law 119-75 has been enacted, but classifications have not been finalized. The currency ("laws in effect") date does not reflect acts for which classifications have not been finalized.

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.)