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This page provides links to sample summons and complaint forms to be used to appeal a LIRC Worker's Compensation Decision to Circuit Court. Limited permission is granted to LIRC solely for use in referencing agency decisions; no other use of this material is intended or authorized.On this form the appealing party states the points of disagreement with the order. In lieu of appeals to LIRC, the. Division of Hearings and Appeals (DHA) Administrator (within the Department of Administration) would review administrative. Administrative law judges to the DHA. The committee rejected the governor's request to spin off. Administrative law judges to the DHA. The committee rejected the governor's request to spin off. We request WisTAF funding to serve the 593,000 poor people in our 39 county service area.