If you wish to appeal a final decision of a state agency (for example, the Unemployment Compensation Board of Review, the Workers’ Compensation Appeal Board, or similar state administrative agency), you must start your appeal by filing a Petition for Review in the Commonwealth Court. Use the forms on this page to complete and file your Petition for Review. Before choosing or completing a form, read all instructions in the FAQs (Frequently Asked Questions) section below as well as the specific instructions for each form.
FAQs
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How long do I have to appeal a decision of a state administrative agency?
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What information do I need to appeal a decision of a state administrative agency?
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What form do I use to file my appeal with the Court?
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How do I file my Petition for Review form?
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Do I need to send my completed Petition for Review form to anyone else?
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Is there a fee to file a Petition for Review? What if I cannot afford to pay the fee?
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What happens after I file my Petition for Review with the Court?
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I have a question about filing - who can I call?
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Where can I find more general information?
Petition for Review Form – Unemployment Compensation Board of Review (Claimant)
Use this form if you are the Claimant in an Unemployment Compensation Board of Review (UCBR) matter and you are appealing a final order of the UCBR. Read and follow all instructions carefully. A copy of the UCBR order must be submitted with this form.
- There is no filing fee associated with this form.
- Petition for Review Form – Unemployment Compensation Board of Review (Claimant)
Petition for Review Form – Department of Human Services, Bureau of Hearings and Appeals
Use this form if you are appealing a final order of the Department of Human Services, Bureau of Hearings and Appeals (BHA). Read and follow all instructions carefully. A copy of the BHA order must be submitted with this form.
- You must submit a filing fee of $90.25 payable to the Commonwealth Court of Pennsylvania OR an Application for Leave to Proceed In Forma Pauperis (IFP Form) (a request that fees be waived) with this form.
- Petition for Review Form – Department of Human Services, Bureau of Hearings and Appeals
Petition for Review Form – Workers’ Compensation Appeal Board (Claimant)
Use this form if you are the Claimant in a Workers’ Compensation Appeal Board (WCAB) matter and you are appealing a final order of the WCAB. Read and follow all instructions carefully. A copy of the WCAB order must be submitted with this form.
- You must submit a filing fee of $90.25 payable to the Commonwealth Court of Pennsylvania OR an Application for Leave to Proceed In Forma Pauperis (IFP Form) (a request that fees be waived) with this form.
- Petition for Review Form – Workers’ Compensation Appeal Board (Claimant)
Petition for Review Form – Other State Agencies
Use this form if you are appealing a final decision or order of a state administrative agency other than the specific agencies listed above. Read and follow all instructions carefully. A copy of the agency decision or order must be submitted with this form.
- You must submit a filing fee of $90.25 payable to the Commonwealth Court of Pennsylvania OR an Application for Leave to Proceed In Forma Pauperis (IFP Form) (a request that fees be waived) with this form.
- Petition for Review Form – Other State Agencies
Application for Leave to Proceed In Forma Pauperis (IFP Form)
File this form along with your Petition for Review form if you are unable to pay the applicable filing fee and you are requesting that the fee be waived.