What is Form 134 used for?

Form 134 is a formal notice signaling intent to appeal an administrative or judicial decision. It notifies the issuing body and other parties and starts appeal-related deadlines and record assembly procedures.

Can I eSign Form 134?

Yes in most jurisdictions under ESIGN and UETA provided the recipient accepts electronic submissions and consumer-facing disclosures are satisfied when applicable.

What if I miss the filing window?

Late filing commonly leads to dismissal or forfeiture of the right to appeal. Some courts or agencies allow motions for extension under narrow circumstances; seek counsel promptly.

Are notarization or witnesses needed?

Requirements vary by state and document type. Many notices do not require notarization, but some filings or supporting affidavits may; check local rules before filing.

How should I store the signed notice?

Retain the signed form, proof of service, and audit trail for at least the appeal period plus recommended retention (see retention timeline). Maintain encrypted backups and secure access controls.

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Form 134 Notice of Intent to Appeal

Form 134 Notice of Intent to Appeal

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

What the Form 134 Notice of Intent to Appeal Is

The Form 134 Notice of Intent to Appeal is a written declaration filed by a party who intends to pursue review of an administrative or judicial decision. It formally starts the appeals process by notifying the original decision-maker and other parties of your intent, and it commonly triggers procedural deadlines, record preparation, and scheduling for further review or hearing.

Why Filing Form 134 Matters

Filing Form 134 preserves your right to appellate review, establishes deadlines, and begins record assembly. Timely filing can avoid forfeiture of appellate rights and ensures the appeal proceeds under applicable procedural rules such as Fed. R. App. P. 4(a) where federal timelines apply.

Who Typically Prepares and Files Form 134

The form is prepared by the affected party, their attorney, or an authorized representative to preserve appellate rights and notify interested parties.

Individual appellants seeking review of an administrative decision or court order
Attorneys filing on behalf of clients under power of attorney or representation
Institutional parties (agencies, businesses) notifying multiple stakeholders and counsel

Confirm who is authorized to sign under your jurisdiction’s rules and include contact information for delivery and subsequent service.

Step-by-Step: Completing and Filing Form 134

A concise sequence to prepare, sign, and submit Form 134 correctly to preserve appeal rights and meet procedural rules.

01

Prepare: Gather the decision, case number, and party names before drafting.
02

Complete Fields: Populate required fields exactly as instructed in this guide.
03

Sign: Have the authorized signer execute and date the form.
04

File and Serve: File with the issuing body and serve all parties per local rules.

How Notice Delivery and Processing Typically Work

Overview of the usual routing from filing to acknowledgement by the decision-maker and opposing parties.

Submit to Clerk: File with the clerk or agency office listed in decision instructions.
Acknowledge Receipt: Clerk or agency typically returns a stamped copy or electronic receipt.
Serve Opposing Parties: Provide proof of service to opposing counsel or parties as required.
Record Assembled: A court or agency will prepare the record and set deadlines for briefs.

Configuring an eSubmission Workflow for Form 134

Recommended settings for an online flow to collect signatures, attach exhibits, and record service.

Field	Configuration
Signature Field	Require signer name, signature, and date; set format MM/DD/YYYY
Attachment Field	Allow PDF uploads for the decision, exhibits, and proof of service
Authentication	Email + SMS code for signer verification or stronger methods for sensitive cases
Audit Trail	Enable comprehensive logs (IP, timestamps, actions) for evidentiary use

Technical Requirements for eSubmission and eSignature

Basic platform capabilities and integrations to support secure eFiling and signing.

Document Formats: PDF, DOCX accepted
Authentication: Email, SMS code, or advanced verification
Integration: API or direct upload to court/agency portal

Choose a platform that provides tamper-evident storage, an audit trail, and integration options to reduce manual steps when filing and serving Form 134.

Essential Elements to Include on a Professional Form 134

A complete notice should be clear, concise, and contain all procedural data the receiving body requires to accept and process the appeal.

Case Identification

Full case or docket number plus the administrative or court body name so the clerk can match the notice to the correct record and avoid processing delays.

Decision Reference

Exact title and date of the decision being appealed, including any internal reference numbers or order citations used by the issuer to ensure precise identification.

Appellant Contact

Complete contact information for the appellant and counsel, including mailing address, email, and phone number for service and scheduling communications.

Relief Requested

A short description of the relief or outcome the appellant seeks, stated plainly so administrative staff and opposing parties understand the appeal’s purpose.

Service Statement

Statement confirming how and when opposing parties were served, or intent to serve, to meet local service rules and avoid procedural challenges.

Signature and Authority

Signature of the appellant or authorized representative, printed name, title if applicable, and date; include proof of authority if signed by an agent.

Security and Legal Data Points to Note

ESIGN/UETA: U.S. e-signature law

Intent & Consent: Signature intent required

Audit Trail: IP and timestamp retained

Encryption: AES-256 at rest

Transport Security: TLS 1.2/1.3

HIPAA BAA: BAA required for PHI

Risks and Consequences of Incorrect or Late Notice

Loss of Appeal: Forfeiture risk

Dismissal: Case may be dismissed

Sanctions: Possible monetary sanctions

Fees: Filing fee forfeiture

Evidence Gaps: Record may be incomplete

Ethical Issues: Counsel discipline risk

Common Deadlines and Timing Considerations

Deadlines vary by agency and court; confirm local rules. Typical timing examples follow to illustrate common windows and next steps.

Federal Civil Appeals:

30 days for most parties (see Fed. R. App. P. 4(a))

Agency Appeals:

Often 30 days from decision; verify agency rules

Proof of Service:

File within same window per local rules

Request for Record:

May have separate shorter deadlines

Extensions:

Some courts allow motion for extension before due date

Practical Tips to Reduce Rejection and Delay

Simple checks and standard practices that reduce processing delays and preserve appeal rights.

Verify Case Details

Confirm the case number, party names, and decision date against the clerk’s docket before filing to ensure the notice links to the correct record.

Use Clear Service Statements

Provide explicit service method and date, and attach proof of service; inaccurate service info often triggers procedural objections.

Keep an Audit Trail

Use eSubmission platforms that record IP addresses, timestamps, and signer identity to provide evidence of filing and signature authenticity.

Confirm Local Rules

Check the receiving body’s procedural rules or local court rules for format, page limits, and permissible attachments before submitting Form 134.

eSignature Vendor Pricing and Feature Snapshot for Notice Filing Workflows

Comparison of starting prices and common capabilities that matter when collecting signatures and retaining a verifiable record for filings; signNow appears first per vendor ordering rules.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Bulk Send	Yes	Yes	Yes	Yes	Varies
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently Asked Questions About Form 134

Answers to common procedural and technical questions when preparing and submitting a Notice of Intent to Appeal.

Need help? Contact support

What is Form 134 used for?
Form 134 is a formal notice signaling intent to appeal an administrative or judicial decision. It notifies the issuing body and other parties and starts appeal-related deadlines and record assembly procedures.
Who is authorized to sign?
The named appellant or an attorney/authorized agent with written authority may sign. If an agent signs, include proof of authorization to avoid challenges to the notice’s validity.
Can I eSign Form 134?
Yes in most jurisdictions under ESIGN and UETA provided the recipient accepts electronic submissions and consumer-facing disclosures are satisfied when applicable.
What if I miss the filing window?
Late filing commonly leads to dismissal or forfeiture of the right to appeal. Some courts or agencies allow motions for extension under narrow circumstances; seek counsel promptly.
Are notarization or witnesses needed?
Requirements vary by state and document type. Many notices do not require notarization, but some filings or supporting affidavits may; check local rules before filing.
How should I store the signed notice?
Retain the signed form, proof of service, and audit trail for at least the appeal period plus recommended retention (see retention timeline). Maintain encrypted backups and secure access controls.

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