Form 3 - Petition for Review of Order of an Agency, Board, Commission or Officer : Title 28 APPENDIX —FEDERAL RULES OF APPELLATE PROCEDURE —APPENDIX OF FORMS — 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.
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