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Docketing Statement Administrative Agency Review-Enforcement Proceedings - Official Federal Forms
| Docketing Statement Administrative Agency Review-Enforcement Proceedings Form. This is a national form and can be used in 3rd Circuit Court Of Appeals Circuit Court Of Appeals . |
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UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT DOCKETING STATEMENT Administrative Agency Review/Enforcement Proceedings (To be completed by Petitioner) 1. DOCKET NO.: 3. CASE NAME (Lead Parties Only) 2. DATE DOCKETED: Petitioner v. Respondent 4. TYPE OF CASE: 5. CASE INFORMATION: a. b. c. d. e. Identify agency whose order is to be reviewed: Give agency docket or docket number(s): Give date(s) of order(s): Is a request for rehearing or reconsideration pending at the agency? Yes No Review Enforcement Are any other cases involving the same underlying agency order pending in this Court or in any other court? Yes No If Yes, identify name(s), docket number(s), and court(s): f. Are any other cases, to counsel's knowledge, pending before the agency, this Court or the Supreme Court which involve substantially the same issues as the instant case presents? Yes No If Yes, give name(s) of these cases and identify court/agency: Signature: Name of Counsel or Pro Se Litigant Firm: Address: Name of Party Represented: Phone: Date: This is to certify that this document was filed with the Clerk of the U.S. Court of Appeals for the Third Circuit and a copy served on each party or their counsel of record this day of , 20 . Rev: 10/09 American LegalNet, Inc. www.FormsWorkFlow.com
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