FORM 15. Informal Brief (Secretary of Veterans Affairs Cases Under 38 U.S.C. § 502) Form 15 Rev. 03/16 UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT v. No. INFORMAL BRIEF OF PETITIONER Read the Guide for Pro Se Petitioners and Appellants before completing this form. Attach a copy of the action or regulation of the Secretary of Veterans Affairs that is subject to judicial review. Answer the following questions as best you can. Your answers should refer to the Secretary's action or regulations where possible. Use extra sheets if needed. 1. Have you ever had another case in this court? each case. Yes No If yes, state the name and number of 2. What action of the Secretary of Veterans Affairs do you want reviewed by this court? 3. What regulations, if any, of the Secretary of Veterans Affairs do you want reviewed by this court? 4. What errors of fact or law are found in the Secretary's action or regulations? Explain in detail. American LegalNet, Inc. www.FormsWorkFlow.com FORM 15. Informal Brief (Secretary of Veterans Affairs Cases Under 38 U.S.C. § 502) Form 15 Rev. 03/16 5. Have you exhausted the administrative remedies available? Explain in detail all the steps you have taken within the Department of Veterans Affairs to obtain the relief you are seeking. Yes No 6. What action do you want the court to take in this case? 7. Do you believe argument will aid the court? Yes No If yes, submit a separate notice to the court requesting oral argument and include the reasons why argument will aid the court. (Refer to paragraph 15 of the Guide.) 8. Do you intend to represent yourself? Yes No If you have not filed an Entry of Appearance, indicate your full name, address, telephone number and e-mail address. 9. I certify that a copy of this brief and any attachments were sent to: , the attorney for respondent, at the following address: . (Address is found on the Entry of Appearance served on you by the attorney for the respondent. If you do not send a copy of this brief to the attorney for the respondent, the court will not file the brief.) Date Petitioner's signature In addition to mailing a copy to the attorney for the respondent, mail three copies of this informal brief and attachments to: Clerk of Court United States Court of Appeals for the Federal Circuit 717 Madison Place, NW Washington, DC 20439 Reset Fields American LegalNet, Inc. www.FormsWorkFlow.com