_________________________, 20_____
							(Date of Letter)



Department of______________________________
	         (Government Department for Office)
__________________________________________
(Room, Floor or P.O. Box)
__________________________________________
(Government Office Building)
__________________________________________
(Street Address)
__________________________________________
(City, State and Zip Code)

RE:  	___________________________________
	(Request for Specific Forms)
	
Attn:  Office Administrator

Dear Office Administrator:

	On the ____ day of ______________, _____(year), your agency initiated
action on _________________________________ (set forth specific action taken
by the agency).  The undersigned, on behalf of _________________________________
(self, specify interested individuals, specify interested group, etc.) (did)
(did not) receive notice of the action taken by the agency prior to the
forementioned date. 

	The action taken by the agency, as noted above, is deemed to be inappropriate,
pursuant to _________________________________ (federal law, federal rules, agency
rules, administrative rules, federal procedure, etc.) and, for that reason, will be
contested by the undersigned on behalf of _________________________________ (self,
specify interested individuals, specify interested group, etc.).

	Please immediately provide an appropriate contested complaint form used by your
agency.  If a contested complaint form is not available, please immediately provide a
copy of the administrative rules relative to contested case complaints that govern your
agency.  Failure to appropriately provide this information may constitute a failure to
comply with federal law regarding notice and/or federally protected rights.  Therefore,
your immediate attention is mandated.  Please provide the requested information within
_____ days.

								Very truly yours,



							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.