AdministrativepdfFederal

Interagency Referral Request

Federal & State Law Editorial TeamLast reviewed: April 2026

Request for one federal agency to refer a matter to another agency with concurrent or primary jurisdiction.

PDF TemplateUse the instructions below to complete this form

Instructions

Identify both the referring and receiving agencies. Describe the matter and explain why the receiving agency has jurisdiction or expertise. Attach all relevant documents and evidence. Note any applicable deadlines or statutes of limitations. The referring agency retains discretion over the referral and may continue its own proceedings.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.