The Illinois Notice of Appeal form is a crucial document used by individuals or employers who wish to contest a decision made by the Illinois Department of Employment Security. This form allows appellants to provide their reasons for disagreement and any relevant information regarding their appeal. To begin the process, fill out the form by clicking the button below.
The Illinois Notice of Appeal form is a crucial document for individuals seeking to contest 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 details must be filled out, including the name of the appellant, their Social Security number, and contact information. The form also requires the date the appeal is filed and a docket number for tracking purposes. In the designated section, appellants must articulate the reasons for their appeal, which may include explanations for late submissions or absences from the original hearing. It’s important to note that appellants must continue to certify for benefits during the appeal process, ensuring that they remain eligible while their case is reviewed. Additionally, the form includes specific instructions on how to submit supporting documents and evidence, emphasizing the necessity of notifying the opposing party. This process not only helps maintain transparency but also ensures that all parties are aware of the ongoing proceedings. Understanding the requirements outlined in the Illinois Notice of Appeal form is vital for a successful appeal, and resources are available through IDES to guide individuals through the process.
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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#:
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.
I
, hereby certify, that I served a copy of this document on
(Name Printed or Typed)
at
on
(Name Copy Served On)
(Address)
(Date)
by (CHECK ONE) (
certified mail or
delivery in person).
APL124F
Page 1 of 1
BA-100
Rev. (09/2011)
When filling out the Illinois Notice Appeal form, it is important to follow specific guidelines to ensure your appeal is processed correctly. Here are some essential dos and don'ts:
After completing the Illinois Notice Appeal form, you will need to submit it to the appropriate parties involved in your case. Ensure you keep a copy for your records. Follow the steps below to fill out the form correctly.