Decision-error review

Deadline and service

• Decision date:
  _________________________________________________
• Service method/date:
  ___________________________________________
• Appeal instruction and stated deadline:
  __________________________
• Proof preserved:
  _______________________________________________

Issue comparison

Findings and record

Legal review

• Correct legal standard stated?
  __________________________________
• Correct burden assigned?
  _______________________________________
• Every element/factor addressed?
  _________________________________
• Findings logically support conclusion?
  __________________________
• Credibility conflict explained?
  _________________________________
• Requested relief clearly resolved?
  ______________________________

Potential review grounds

• Unsupported material
  finding
• Material evidence omitted or
  misstated
• Wrong legal standard
• Wrong burden
• Issue outside adequate
  notice
• Improper exclusion/denial of
  material evidence
• Inadequate explanation of
  credibility
• Internal inconsistency
• Other:
  __________________________________________________

Record citation for each
ground

Specific relief requested

Jurisdiction field

Add the state, agency, tribunal, official terminology, burden,
evidence rule, appeal deadline shown on the notice, and current source
used. This worksheet does not calculate or verify a deadline.

Local-use note: Complete or save this worksheet on your own
device or on paper. It is not submitted through uiappeals.com/.