The image shows a person holding a formal apology form. The form is titled "Official Notice Formal Apology A-001" and has a seal on the top left corner. The paper is white with black text and has various fields for the person to fill out, such as their name, address, phone number, and other personal information. There are also checkboxes for the sender's name and address, as well as a space for the recipient's name.

The person is holding the form in their hand and appears to be standing in front of a desk or chair. The background is blurred, but it seems to be an office or a workspace with a computer monitor and other office supplies visible.