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The Illinois Notice of Appeal form is a crucial document for individuals seeking to contest decisions made by the Department of Employment Security. This form is utilized by both claimants and employers, allowing them to formally express their disagreement with a referee's ruling. Essential details such as the appellant's name, Social Security number, and address must be provided. The form requires the date the appeal is filed and a docket number for tracking purposes. Additionally, it includes a section for the appellant to articulate their reasons for the appeal, which can be critical in persuading the Board of Review. If applicable, the form also addresses late appeals and missed hearings, ensuring that all relevant circumstances are documented. An important reminder for claimants is to continue certifying for benefits during the appeal process. The form emphasizes the need for proper service of documents to the opposing party, highlighting the importance of compliance with IDES rules. Lastly, the appellant must sign and date the form, certifying that all information is accurate and that they have fulfilled the necessary procedural requirements.

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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#:

 

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.

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).

 

 

 

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

Date:

 

APL124F

 

 

 

 

 

 

Page 1 of 1

BA-100

Rev. (09/2011)

Form Specifications

Fact Name Description
Purpose The Illinois Notice of Appeal form is used to appeal a decision made by a referee regarding unemployment benefits.
Filing Requirements Appellants must file the form within a specified time frame after receiving the referee's decision.
Supporting Documents Attachments such as a letter of appeal may be required to support the appeal.
Continued Certification Claimants must continue to certify for benefits every two weeks during the appeal process.
Service Requirement A copy of the appeal must be served to the opposing party, along with any additional evidence submitted.
Governing Law This form is governed by IDES Administrative Rule 2720.315(b) and other relevant IDES regulations.

Illinois Notice Appeal: Usage Guidelines

Completing the Illinois Notice Appeal form is a crucial step in the appeals process. After filling out the form, you will need to submit it to the appropriate parties and ensure that all necessary documentation is included. The following steps will guide you through the process of filling out the form accurately.

  1. Identify Your Status: At the top of the form, select whether you are the Claimant or Employer by checking the appropriate box.
  2. Provide Personal Information: Fill in the Claimant’s Social Security Number (SS#), address, city, state, and zip code. If applicable, include any additional address information in the Address 2 section.
  3. Date and Docket Number: Enter the date you are filing the appeal and the docket number associated with your case.
  4. Attachments: Indicate any attachments you are including with your appeal, such as a Letter of Appeal or other relevant documents.
  5. State Your Reasons: In the designated space, clearly explain why you disagree with the referee’s decision. If your appeal is late or if you missed the referee’s hearing, provide an explanation for those circumstances. Use additional sheets if necessary.
  6. Certify Your Benefits: Remember to continue certifying for benefits during the appeal process. This can be done via Tele-Serve or online for every two-week period you remain unemployed.
  7. Signature: Sign and date the form to certify that the information provided is accurate. If applicable, an IDES representative will also need to sign and date the form.
  8. Service Certification: Complete the section certifying that you have served a copy of this document to the opposing party. Include the name of the person served, their address, the date of service, and the method of service (certified mail or in person).

Your Questions, Answered

What is the Illinois Notice of Appeal form used for?

The Illinois Notice of Appeal form is used by individuals or employers who wish to contest a decision made by a referee regarding unemployment benefits. This form allows the appellant to formally present their disagreement with the decision and provide reasons for their appeal to the Board of Review.

Who can file an appeal using this form?

Both claimants and employers can file an appeal using the Illinois Notice of Appeal form. Claimants are individuals applying for unemployment benefits, while employers are those who may dispute the awarding of benefits to a claimant.

What information do I need to provide on the form?

When completing the form, you will need to provide your name, address, and Social Security number. Additionally, you must indicate whether you are the claimant or the employer, and include the date the appeal is filed and the docket number. You should also attach any relevant documents that support your appeal.

How do I explain my reasons for the appeal?

In the designated space on the form, you should clearly outline the reasons for your disagreement with the referee’s decision. If your appeal is late or if you did not attend the referee’s hearing, you must also provide explanations for those circumstances. If necessary, you can use the reverse side of the form or attach a separate sheet for additional details.

What should I do while my appeal is pending?

It is crucial to continue certifying for benefits during the appeal process. You can do this through Tele-Serve or online for each two-week period that you remain unemployed. Failing to certify may affect your benefits.

What are the requirements for submitting additional evidence?

If you wish to submit additional evidence with your appeal, you must explain why you could not present this information at the original hearing. You also need to certify that you have mailed or delivered a copy of your appeal and any additional evidence to the opposing party. This ensures that both sides are aware of all information being considered.

Where can I find more information about the appeal process?

For more detailed information on the appeal process and requirements, you can refer to the IDES publication titled “APPEALING TO THE BOARD OF REVIEW.” This publication is available online or at any local IDES office, providing guidance to help you navigate the appeal process effectively.

Common mistakes

  1. Incomplete Information: Failing to provide all required details can lead to delays or rejection of the appeal. Ensure that the name, address, and other personal information are fully filled out.

  2. Missing Signatures: Both the appellant and the IDES representative must sign the form. Neglecting to include these signatures can render the appeal invalid.

  3. Insufficient Reasons for Appeal: The section where you explain why you disagree with the referee's decision should be clear and thorough. Vague or unclear reasons may weaken your case.

  4. Failure to Serve the Opposing Party: You must send a copy of the appeal to the opposing side. Not doing so can lead to complications in the process and may affect the outcome.

Documents used along the form

The Illinois Notice Appeal form is a crucial document for individuals seeking to contest a decision made by the Department of Employment Security. Along with this form, there are several other documents that may be necessary to support the appeal process. Each of these documents serves a specific purpose and can help ensure that your appeal is properly considered. Below is a list of common forms and documents often used in conjunction with the Illinois Notice Appeal form.

  • Letter of Appeal: This is a written statement where the appellant outlines the reasons for their disagreement with the referee's decision. It provides context and detail that may not be fully captured in the Notice Appeal form.
  • Proof of Service: This document certifies that a copy of the appeal has been served to the opposing party. It is important for maintaining transparency and fairness in the appeal process.
  • Hearing Transcript: If available, this document provides a verbatim account of the original hearing. It can be useful for referencing specific statements or evidence presented during the initial decision-making process.
  • Additional Evidence: Any new evidence that was not presented at the original hearing may be submitted to support the appeal. This can include documents, photographs, or witness statements that bolster the appellant's case.
  • Request for Extension: If the appeal is being filed late, this document explains the reasons for the delay and requests an extension to ensure that the appeal is still considered.
  • Certification of Continued Eligibility: This form is often required to confirm that the claimant continues to meet eligibility requirements for unemployment benefits during the appeal process.
  • Board of Review Instructions: This document outlines the specific procedures and requirements for appealing to the Board of Review, including deadlines and necessary forms.
  • Personal Statement: This is a narrative from the appellant detailing their situation and the impact of the referee's decision on their life. It can provide a personal touch that may resonate with the Board of Review.

Understanding these documents and their purposes can greatly enhance the effectiveness of an appeal. Each piece of information contributes to the overall case and helps present a comprehensive argument to the Board of Review. It is advisable to carefully prepare and submit all relevant documentation to support your appeal effectively.

Similar forms

The Illinois Notice Appeal form shares similarities with several other legal documents. Here’s a breakdown of five such documents:

  • Notice of Claim: This document notifies the relevant parties of a claim being made. Like the Notice Appeal, it requires the claimant to provide specific details and reasons for the claim, ensuring all parties are informed.
  • Motion for Reconsideration: This form is used to request a review of a decision. Similar to the Notice Appeal, it involves stating reasons for disagreement and may include new evidence or arguments.
  • Request for Hearing: This document initiates a formal hearing process. It parallels the Notice Appeal in that both require a clear explanation of the issues at hand and the desired outcome.
  • Petition for Review: This is filed to seek judicial review of an administrative decision. Like the Notice Appeal, it necessitates a detailed explanation of why the previous decision is being contested.
  • Affidavit of Service: This document certifies that copies of legal documents were delivered to the opposing party. It is similar to the Notice Appeal in that both require a declaration of how and when the documents were served.

Dos and Don'ts

When filling out the Illinois Notice Appeal form, there are important steps to follow. Here’s a list of things you should and shouldn't do:

  • Do provide accurate information for all required fields, including your name, address, and Social Security number.
  • Do clearly state the reasons for your appeal in the designated space, ensuring you address the referee’s decision directly.
  • Do attach any necessary documents that support your appeal, such as letters or additional evidence.
  • Do continue to certify for benefits during the appeal process, as required by IDES.
  • Don't ignore the deadline for filing your appeal; make sure it is submitted on time.
  • Don't forget to serve a copy of your appeal to the opposing party and document how you did so.

Following these guidelines can help ensure that your appeal is processed efficiently and effectively. Pay attention to detail and adhere to the requirements set forth by the Illinois Department of Employment Security.

Misconceptions

Misconceptions about the Illinois Notice Appeal form can lead to confusion and errors in the appeal process. Here are ten common misunderstandings:

  • The form is only for claimants. Many believe that only claimants can use this form. In reality, both claimants and employers can file an appeal using it.
  • Filing late means automatic denial. Some think that if they file their appeal late, it will be automatically denied. While timeliness is important, there are explanations that can be accepted.
  • You don’t need to provide reasons for your appeal. It’s a misconception that you can simply submit the form without explaining your disagreement. Clear reasons must be provided.
  • Attachments are optional. Many assume that attaching additional documents is optional. However, including relevant attachments can strengthen your case.
  • You can skip certifying your appeal. Some believe that certification of the appeal is unnecessary. In fact, you must certify that you have served a copy to the opposing party.
  • Only one copy of the appeal is needed. It’s a common mistake to think that submitting a single copy is enough. You must provide copies for both the Board and the opposing party.
  • There’s no need to continue certifying for benefits. Some people think that they can stop certifying for benefits during the appeal process. This is incorrect; you must continue to certify every two weeks.
  • All evidence must be presented at the hearing. It’s a misconception that any evidence not presented at the hearing cannot be submitted later. There are circumstances under which late evidence can be considered.
  • The form is straightforward and doesn’t require guidance. Many underestimate the complexity of the form. Seeking guidance can help ensure all requirements are met.
  • You can ignore the instructions. Some think that the instructions are optional. However, following them closely is essential for a successful appeal.

Understanding these misconceptions can help you navigate the appeal process more effectively. Make sure to read all instructions carefully and provide the necessary information to support your case.

Key takeaways

When filling out and using the Illinois Notice Appeal form, keep these key takeaways in mind:

  • Identify Yourself Clearly: Indicate whether you are the claimant or the employer. Fill in your name and social security number accurately.
  • Provide Complete Contact Information: Ensure that your address, including any apartment or unit number, is complete for effective communication.
  • File on Time: Submit your appeal promptly. Include the date the appeal is filed and the docket number for reference.
  • Attach Necessary Documents: Include any relevant attachments, such as a letter of appeal, to support your case.
  • State Your Reasons: Clearly explain why you disagree with the referee’s decision. Use the space provided or attach additional sheets if needed.
  • Certify Your Benefits: Continue to certify for benefits during the appeal process to avoid losing eligibility.
  • Serve the Opposing Party: Mail or hand-deliver a copy of your appeal to the other party involved in the case.
  • Document Everything: Keep records of how and when you served documents to the opposing party. This includes noting the method of delivery.

Following these steps can help ensure your appeal is processed smoothly and effectively.