Fill a Valid Illinois Notice Appeal Form

The Illinois Notice of Appeal form is a crucial document used by claimants or employers to formally contest a decision made by the Illinois Department of Employment Security. This form allows individuals to outline their reasons for disagreement and provides essential details needed for the appeal process. To ensure a smooth appeal, it is important to complete this form accurately; click the button below to get started.

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Fill a Valid Illinois Notice Appeal Form

Table of Contents

The Illinois Notice of Appeal form is a critical document for individuals seeking to challenge decisions made by the Department of Employment Security (IDES) regarding unemployment benefits. This form serves both claimants and employers, allowing them to formally express their disagreement with a referee's decision. Essential information such as the name of the appellant, their Social Security number, and contact details must be provided. The form also requires the date the appeal is filed and the docket number associated with the case. In addition, the appellant must articulate the reasons for their appeal, including any explanations for late submissions or absence from the initial hearing. It is important to note that claimants must continue to certify for benefits during the appeal process. The form includes a certification section where the appellant must confirm that they have served a copy of the appeal to the opposing party and describe the method of service. Adhering to these guidelines is crucial, as any additional evidence submitted must also comply with specific requirements outlined by IDES. For further information on the appeal process, claimants can refer to the IDES publication “APPEALING TO THE BOARD OF REVIEW,” available online or at local IDES offices.

Example - Illinois Notice Appeal Form

State of Illinois

Department of Employment Security

www.ides.illinois.gov

Notice of Appeal / Board of Review

Name of Appellant:

(Check One) (

Claimant

Employer)

Claimant’s SS#:

Address:

Address 2: (Apt/Floor/Unit)

City:

State:

Zip Code:

Date Appeal Filed:

Docket #:

Attachments:

Letter of Appeal

Other

Instructions for Appeal: In the space below give the reasons why you disagree with the referee’s decision. If applicable, explain why your appeal to the Board of Review is being filed late. Also, if applicable, explain why you did not attend the referee’s hearing. (Use the reverse side of this document or attach a separate sheet, if necessary).

*Note to claimant: You must continue to certify for benefits by Tele-Serve or Online for each two week period that you are unemployed during the appeal process.

Appellant Signature:		Date:
IDES Representative
Signature:	LO#:		Date:

Important Note: In accordance with IDES Administrative Rule 2720.315(b), if you include information on this form which you want the Board of Review to consider, you must explain why, for reasons not your fault and outside your control, you were unable to introduce this information at the hearing, and you must certify, by signing this form, that you have served a copy on the opposing party, and you must describe in writing how you served it (i.e., in person, certified mail, etc.) These requirements also apply to any other document or other evidence that you submit to the Board for their consideration. For information on additional requirements that must be met, see the IDES publication, “APPEALING TO THE BOARD OF REVIEW,” available on-line or at any local IDES office. You must mail or hand-deliver a copy of your appeal to the opposing side. If you submit additional evidence, you must certify that you mailed it to the opposing side and you must explain why, for reasons not your fault and outside your control, you were unable to introduce this evidence at the hearing.

, hereby certify, that I served a copy of this document on

(Name Printed or Typed)

(Name Copy Served On)

(Address)

(Date)

by (CHECK ONE) (

certified mail or

delivery in person).

Signature:

Date:

APL124F

Page 1 of 1

BA-100

Rev. (09/2011)

▼ PDF

Document Breakdown

Fact Name	Details
Governing Law	This form is governed by the IDES Administrative Rule 2720.315(b).
Eligibility	The appellant must be a claimant or employer filing an appeal regarding a referee's decision.
Submission Requirements	A copy of the appeal must be mailed or hand-delivered to the opposing party.
Certification of Benefits	Claimants must continue to certify for benefits during the appeal process.
Late Appeals	If filing late, the appellant must explain why the appeal is late and why they did not attend the hearing.

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