Notice of Appeal



Notice of Appeal :




This letter should be typed in the official letter-head of the company.

The Company's Name

Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXX
Phone Number : 0000 - 123456789


TO :

The Receiver's Name,
Door Number and Street's Name,
Area Name,
City.
Postal Code : XXXXXXX


Date :


Reference : APPEAL FROM REFEREE'S DECISION


Dear _____________,


In the matter of


[name of appellant]


[address]


[number]


[date]


Notice is hereby given that a decision was reached in the above referenced matter on the above date in the City of , State of , a copy of which is attached hereto and sets forth the particulars in this matter.


That appellant alleges that an error in decision has been made on the part of the referee and is appealing said decision on the following grounds: [grounds for appeal]


Date:


[Signature]


Yours Sincerely,


(The Sender's Signature)


The Sender's Name


Enc. :







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