Appeal Request Form

Appeal Request Form
What This Form Is For

If you think we made a mistake in your application or decision, you can ask us to look at it again. This is called an appeal. Once a final decision is made, there is no further review. The decision is final and cannot be appealed again.

You must send your appeal:
- within 30 days (or 60 days for relocation appeals) from the date on your decision letter;
  AND
- before signing a grant agreement or other legal documents, unless the law says otherwise.
If you need more time, you can ask for an extension in writing prior to the appeal deadlines outlined above. You may ask for up to two extensions.

You can send your appeal by:
- Completing this online form below
- Email: sunrise@stpete.org
- Mail: Sunrise St. Pete Division
  Strategic Initiatives and Grants Department
  P.O. Box 2842
  St. Petersburg, FL 33701
What You Can Appeal

Rules and laws cannot be appealed. Only decisions made by the program can be appealed. You can ask us to review decisions about:
- If you can get help (eligibility)
- How much help you get (award amount or Duplication of Benefits)
- What kind of help you are offered (award type)
- What work we said we would do (scope of work)
- If we said you owe money back (recapture)
- If we gave you enough time or choices
- If we denied a request for a reasonable accommodation
- Relocation services required by federal law (relocation)
What You Need to Do
- If you are submitting an appeal: Fill out the form below and include any papers that help explain your appeal.
- If you are requesting additional time to submit your appeal: Fill out the form below and include a letter asking for more time.
Appeal Request Form

Contact & Property Information
Applicant Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Application Case Number (if you have one):
Email:*
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Impacted Property Address (if different from mailing address):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If yes, please provide your name:*

First NameLast Name
EligibilityAward AmountDuplication of BenefitsAward TypeScope of WorkRecaptureRelocationOther
When Did You Get the Decision You Are Appealing?*

MonthDayYear
This is the date on the letter or email you got from us
Tell Us Why You're Appealing:*
File Upload:

Cancelof
I have uploaded or attached all supporting documents, records, and any additional forms to support my appeal (if applicable)I have uploaded a written request asking for an extension (if applicable)
Important Notices

Once a final decision is made, there is no further review. The decision is final and cannot be appealed again.

You may have a lawyer or someone else help you with your appeal, but you must pay for them yourself.

WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to administrative, civil and criminal sanctions, fines, and penalties, including confinement for up to 5 years. (18 U.S.C. §§ 287, 1001, and 1010, 1012; 31 U.S.C. §§ 3729 and 3802). Florida law also criminalizes knowingly making false statements and providing false information and documents, punishable by fines and imprisonment (§§ 817.03, 817.569, and 837.06 and ch. 817, Fla. Stat.; §§ 775.082-775.084, Fla. Stat).
Should be Empty:

Appeal Request Form

What This Form Is For

What You Can Appeal

What You Need to Do

Appeal Request Form

Important Notices