ADMINISTRATIVE HEARING REQUEST PACKET
Filing Overview
- Requester: [NAME/ENTITY], Contact: [ADDRESS/EMAIL/PHONE]
- Agency action/date: [DECISION/NOTICE], Docket/Ref: [ID]
- Deadline to request hearing: [DATE]
- Relief: [Hearing de novo / Review on record]; Stay requested: [YES/NO]
Practice Notes
- For Pennsylvania matters, confirm whether the hearing is before the agency or another forum, and follow the Pennsylvania Administrative Agency Law (2 Pa.C.S. Chapter 5) and General Rules of Administrative Practice and Procedure (1 Pa. Code Chapters 31-35).