(Prepare in Duplicate). Complaint sample. PDF.Complaint fill in. PDF. The following is a sample letter that should be sent to external evaluators. Please be sure to replace pronouns where appropriate. Appeal A Denial due to an Agency's Failure to Respond in a Timely Manner (Sample). FOIL Appeals Officer. Below is an example letter for requesting a re-evaluation. Attempting to take the exam for someone else. 2. Offering a bribe to any NYC employee. 3.