(Authority/Decision-Maker's Title) (Authority/Organization's Name) (Authority/Organization's Address) (City, State, ZIP)
Here is a sample format of a protest petition: sample format of protest petition full
The has caused [specific harm/concern] to [specific group/community] . We believe that this [issue/policy/decision] is [illegal/unfair/unjust] and request that it be [revised/overturned] . sample format of protest petition full