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Request for Reconsideration
Free request for reconsideration template for appealing a decision — a denied claim, application, or ruling.
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This free request for reconsideration covers Basis for Reconsideration, Supporting Information, What I'm Requesting with 8 clearly marked [placeholder] fields to fill in — built for founders, freelancers, and small business owners formalizing a business decision or agreement without paying a lawyer to draft it from scratch. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Request for Reconsideration
[Your Name] [Date]
[Recipient/Organization Name]
RE: Request for Reconsideration — [Reference #/Case #]
Dear [Recipient Name],
I am writing to request reconsideration of the decision made on [Date] regarding [Description of the decision — e.g. "my claim #___" or "my application for ___"].
Basis for Reconsideration
[Specific reasons — new information, an error in the original decision, or additional context that wasn't considered.]
Supporting Information
[Reference any documents attached that support your request.]
What I'm Requesting
[The specific outcome you want — e.g. "approval of the original claim" or "a review by a different reviewer."]
I would appreciate a response by [Date, if there's a relevant deadline]. Please contact me at [Phone/Email] with any questions.
Sincerely, [Your Name]
*Focus on facts and new information rather than simply restating disagreement — reviewers respond to "here's what wasn't considered," not "I don't think this is fair."*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 3 standard sections: Basis for Reconsideration, Supporting Information, What I'm Requesting
- 8 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Early-stage businesses
Getting the basics documented before things get more complex.
FAQ
Is this request for reconsideration template really free?
Yes — this Request for Reconsideration template on docstoc is free to view, edit online, and download as a PDF with no account or signup required.
What does this request for reconsideration cover?
This business template includes Basis for Reconsideration, Supporting Information, What I'm Requesting. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. This is a general-purpose starting structure, not advice for your specific situation. Business agreements can hinge on details — state of formation, industry-specific regulation, how a dispute would actually play out — that a template can't account for. Have a business attorney review anything that involves real money or real risk before you rely on it.
Can I edit the wording?
Yes — edit directly on the page, adjust any section or clause, and re-fill the 8 placeholder fields to match your situation before downloading a PDF. It's a starting structure, not a rigid script.
Where can I find more free templates like this?
Browse more free business and related document templates in the docstoc library at /document-templates/.
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