UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT Case Number: Case Name: PRO SE PETITIONER'S BRIEF Directions: Answer the following questions about the appeal to the best of your ability. Use additional sheets of paper, if necessary. You need not limit your brief solely to this form, but you should be certain that the document you file contains answers to the questions below. Please print or write legibly, or type your answers double-spaced. If you are asking for specific relief such as the appointment of counsel, the provision of transcript at government expense, or leave to proceed without prepayment of filing fees, please make that request at the conclusion of the brief. The Court prefers short and direct statements. Within 28 days you should return your completed brief to: United States Court of Appeals For The Sixth Circuit 540 Potter Stewart U.S. Courthouse 100 East Fifth Street Cincinnati, Ohio 45202-3988 1. Did the Agency fail to consider important grounds for relief ? If so, what grounds ? 2. Do you think the Agency incorrectly decided the facts ? If so, what law do you want applied ? 6CA-70 10.24 American LegalNet, Inc. www.FormsWorkflow.com 3. Do you think the Agency applied the wrong law ? If so, what law do you want applied ? 4. Do you feel that there are any other reasons why the Agency’s judgment was wrong ? ___ If so, what are they ? 5. What action do you want the Court to take in this case ? 6. What specific issues do you wish to raise on appeal ? I certify that a copy of this brief was sent to opposing counsel via U.S. Mail on the day of ,20 . Signature (Notary not required) American LegalNet, Inc. www.FormsWorkflow.com