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Outline

The Illinois Notice Appeal form is an important document for individuals seeking to challenge a decision made by a referee regarding unemployment benefits. This form is used by both claimants and employers to formally submit their appeals to the Board of Review. Key components of the form include the name of the appellant, their Social Security number, and contact information. The date the appeal is filed and a docket number are also required. One significant section allows the appellant to articulate their reasons for disagreeing with the referee’s decision. If the appeal is being filed late or if the appellant did not attend the original hearing, they must provide explanations for these circumstances. It is crucial for claimants to continue certifying for benefits during the appeal process. Additionally, the form includes important notes regarding the submission of evidence and the requirement to serve a copy of the appeal to the opposing party. Proper completion of the form is essential for a successful appeal, and further information can be found in the IDES publication “APPEALING TO THE BOARD OF REVIEW.”

Sample - 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.

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 Information

Fact Name Description
Purpose of the Form The Illinois Notice of Appeal form is used by claimants or employers to formally appeal a decision made by a referee regarding unemployment benefits.
Filing Requirements To file an appeal, the form must be completed and submitted within a specified timeframe after the referee's decision. Late appeals may require an explanation.
Governing Law This form is governed by the Illinois Department of Employment Security (IDES) Administrative Rule 2720.315(b).
Certification of Service Appellants must certify that they have served a copy of the appeal to the opposing party, detailing how the service was completed.
Continued Certification for Benefits During the appeal process, claimants must continue to certify for benefits every two weeks to remain eligible for unemployment compensation.

Detailed Guide for Filling Out Illinois Notice Appeal

Filling out the Illinois Notice of Appeal form is a crucial step in the appeals process. After you complete this form, it will be submitted to the Board of Review, where your case will be reviewed. Make sure to follow the instructions carefully to ensure that your appeal is processed without delays.

  1. Begin by identifying yourself as either the Claimant or Employer. Check the appropriate box at the top of the form.
  2. Enter the Claimant’s Social Security Number (SS#) in the designated space.
  3. Fill out your address information. Include the street address, apartment or unit number if applicable, city, state, and zip code.
  4. Provide the date you are filing the appeal in the “Date Appeal Filed” section.
  5. Write down the docket number in the space provided.
  6. Indicate any attachments you are including, such as a letter of appeal or other documents.
  7. In the provided space, clearly state the reasons why you disagree with the referee’s decision. If your appeal is late, explain why. If you missed the referee’s hearing, provide your reasons for not attending. You can use the reverse side of the form or attach a separate sheet if needed.
  8. Sign and date the form where indicated as the appellant.
  9. If applicable, have an IDES representative sign and date the form in the designated area.
  10. Remember to certify that you have served a copy of this document to the opposing party. Fill out the certification section with the name of the person served, their address, the date of service, and the method of service (certified mail or in person).
  11. Sign and date the certification section to confirm that you have completed this step.

Obtain Answers on Illinois Notice Appeal

  1. What is the Illinois Notice Appeal form?

    The Illinois Notice Appeal form is a document used to appeal a decision made by a referee regarding unemployment benefits. It allows either a claimant or an employer to formally express their disagreement with the referee's decision and request a review by the Board of Review.

  2. Who can file a Notice of Appeal?

    Both claimants and employers have the right to file a Notice of Appeal. If you believe that the referee's decision was incorrect, you can submit this form to seek a review.

  3. What information do I need to provide on the form?

    You will need to provide your name, whether you are the claimant or employer, your Social Security number, and your address. Additionally, you must include the date the appeal is filed and the docket number. You should also attach any relevant documents, such as a letter of appeal.

  4. What should I write in the reason section of the form?

    In this section, explain why you disagree with the referee’s decision. If your appeal is late, clarify the reasons for the delay. If you did not attend the referee's hearing, provide an explanation for your absence. You can use the reverse side of the form or attach a separate sheet if needed.

  5. Do I need to continue certifying for benefits during the appeal process?

    Yes, it is essential to continue certifying for benefits through Tele-Serve or online for each two-week period you are unemployed while your appeal is being processed. Failing to do so may affect your benefits.

  6. What if I have new evidence to present?

    If you want the Board of Review to consider new evidence, you must explain why you could not present it at the hearing. You also need to certify that you have served a copy of this information to the opposing party. This applies to any documents or evidence submitted with your appeal.

  7. How do I serve a copy of my appeal to the opposing party?

    You must mail or hand-deliver a copy of your appeal to the opposing side. If you submit additional evidence, you must also certify that you mailed it to them. Include details on how you served the documents, such as by certified mail or in person.

  8. Where can I find more information about the appeal process?

    For additional requirements and details, refer to the IDES publication titled “APPEALING TO THE BOARD OF REVIEW.” This resource is available online or at any local IDES office.

Common mistakes

Filling out the Illinois Notice Appeal form can be a straightforward process, but many people make mistakes that can delay or even jeopardize their appeal. One common mistake is failing to clearly identify themselves as either the claimant or employer. This section is crucial because it sets the context for the entire appeal. If you check the wrong box, it could lead to confusion and miscommunication.

Another frequent error involves not providing a complete address. Missing details like the apartment number or zip code can cause important documents to be misdirected or lost. Make sure to double-check your address to ensure that all relevant parties receive your appeal without delay.

People often overlook the importance of the date appeal filed section. Leaving this blank can create problems, especially if there are questions about the timeliness of your appeal. Always include the date you are submitting the form to avoid any complications.

When it comes to the reasons for your appeal, many individuals write vague statements. Being specific is essential. Instead of saying you disagree with the referee’s decision, explain why. Provide details and examples to strengthen your case. A clear, well-articulated reason can make a significant difference.

Another mistake is not addressing why the appeal is being filed late. If you missed the deadline, you need to explain the circumstances. Failing to do so may lead the Board to dismiss your appeal outright. Transparency is key here.

Some people forget to sign the form. A signature is not just a formality; it confirms that you stand by the information you provided. Without it, the form may be considered incomplete.

Also, be mindful of the requirement to serve a copy of your appeal to the opposing party. Many forget this step or do not document how they served it. This oversight can lead to complications down the line. Always keep a record of how and when you served the document.

In addition, individuals sometimes submit additional evidence without proper certification. You must certify that you mailed it to the opposing side and explain why you couldn't present it during the hearing. Neglecting this step can weaken your case.

Lastly, many people fail to read the instructions thoroughly. The form contains important notes and requirements that must be followed. Skipping this step can lead to unnecessary delays or even a rejection of your appeal.

By avoiding these common mistakes, you can increase your chances of a successful appeal. Take your time, read the instructions carefully, and ensure that every section of the form is completed accurately.

Documents used along the form

The Illinois Notice Appeal form is a crucial document for those looking to contest a decision made by the Department of Employment Security. However, it is often used alongside other forms and documents that help support the appeal process. Here’s a list of additional forms you may need to consider.

  • Claimant's Certification Form: This form verifies that the claimant has been actively seeking employment while receiving benefits. It must be submitted regularly during the appeal process.
  • Employer's Response Form: This document allows the employer to provide their side of the story regarding the appeal. It is essential for the Board of Review to understand both perspectives.
  • Evidence Submission Form: Use this form to submit any additional evidence that supports your appeal. It helps clarify your reasons for contesting the referee's decision.
  • Request for Hearing Form: If you wish to have a hearing with the Board of Review, this form must be completed and submitted. It outlines your request for an in-person or virtual hearing.
  • Late Appeal Explanation Form: If your appeal is filed late, this form explains the reasons for the delay. Providing this information can help the Board consider your appeal despite the lateness.
  • Record of Hearing Form: This document summarizes the proceedings of the initial hearing. It can be useful for reference during your appeal.
  • Proof of Service Form: This form certifies that you have sent copies of your appeal and any additional documents to the opposing party. Proper service is crucial in the appeal process.

Each of these forms plays an important role in ensuring that your appeal is handled fairly and thoroughly. Make sure to gather all necessary documents and follow the guidelines provided by the Illinois Department of Employment Security for a smoother appeal process.

Similar forms

  • Notice of Claim: This document initiates a claim for unemployment benefits, similar to how the Notice Appeal form initiates an appeal process. Both require personal information and details about the case.
  • Request for Reconsideration: This form allows a party to request a review of a decision made by the Board of Review, akin to the appeal process outlined in the Notice Appeal form.
  • Appeal to the Employment Security Board: This document is used to formally appeal a decision made regarding employment benefits. It shares the purpose of challenging a previous decision, just like the Notice Appeal form.
  • Hearing Request Form: This form is used to request a hearing regarding a dispute over unemployment benefits. Both documents involve providing reasons for disagreement with a prior decision.
  • Claimant's Certification Form: This document certifies ongoing eligibility for benefits while an appeal is pending. It emphasizes the need for continued communication, similar to the instructions in the Notice Appeal form.
  • Evidence Submission Form: This form allows parties to submit additional evidence to support their case. Like the Notice Appeal, it requires an explanation of why certain evidence was not presented earlier.
  • Withdrawal of Appeal Form: This document is used to withdraw an appeal previously filed. It serves as a counterpoint to the Notice Appeal form, which initiates an appeal.
  • Final Decision Notification: This document communicates the final decision of the Board of Review. It is related to the Notice Appeal form as it provides the outcome of the appeal process.
  • Appeal Fee Waiver Request: This form requests a waiver for any fees associated with filing an appeal. It is similar in that it addresses financial aspects of the appeal process.

Dos and Don'ts

When filling out the Illinois Notice Appeal form, it's important to follow certain guidelines to ensure your appeal is processed smoothly. Here are some key dos and don'ts:

  • Do provide complete and accurate information. Double-check your name, address, and Social Security number.
  • Do clearly state your reasons for appealing the referee’s decision. Use the space provided or attach a separate sheet if necessary.
  • Do continue to certify for benefits during the appeal process. This is crucial to maintain your eligibility.
  • Do ensure you serve a copy of your appeal to the opposing party. This can be done by certified mail or in person.
  • Don't ignore the deadline for filing your appeal. Late submissions can jeopardize your case.
  • Don't forget to explain any late filings or missed hearings. Providing context can help your appeal.

By following these guidelines, you can help make your appeal process as smooth as possible. Good luck!

Misconceptions

  • Misconception 1: The form is only for claimants.
  • Many people believe that the Illinois Notice Appeal form is exclusively for claimants. In reality, both claimants and employers can use this form to appeal decisions made by the referee.

  • Misconception 2: You can submit the form without any explanation.
  • Some individuals think they can simply fill out the form and submit it without providing reasons for their appeal. However, it is crucial to explain why you disagree with the referee’s decision to ensure your appeal is considered.

  • Misconception 3: Late appeals are not allowed.
  • There is a belief that if you miss the deadline for filing an appeal, you cannot submit one at all. While late appeals are generally discouraged, the form does allow for an explanation if you are filing late due to circumstances beyond your control.

  • Misconception 4: You do not need to continue certifying for benefits during the appeal process.
  • Some may think that once an appeal is filed, they do not need to certify for benefits. This is incorrect. Claimants must continue to certify for benefits every two weeks while the appeal is ongoing.

  • Misconception 5: You don’t need to notify the opposing party.
  • It is a common misunderstanding that you can submit your appeal without informing the opposing party. In fact, you must mail or hand-deliver a copy of your appeal to them, and certify that you have done so.

  • Misconception 6: Additional evidence can be submitted without explanation.
  • Some believe that they can include extra evidence with their appeal without explaining why it wasn’t presented at the hearing. However, the form requires you to provide a valid reason for not introducing this evidence earlier.

  • Misconception 7: The form is self-explanatory and requires no additional resources.
  • Many think that the Illinois Notice Appeal form is straightforward enough to fill out without any guidance. In truth, it is advisable to consult the IDES publication, “APPEALING TO THE BOARD OF REVIEW,” for comprehensive instructions and requirements.

Key takeaways

Filling out and using the Illinois Notice of Appeal form is an important process for those who wish to contest a decision made by the Department of Employment Security. Here are some key takeaways to keep in mind:

  • Identify Your Role: Clearly indicate whether you are the claimant or the employer by checking the appropriate box at the top of the form.
  • Provide Accurate Information: Fill in all required fields, including your name, address, and social security number, to ensure your appeal is processed without delays.
  • State Your Reasons: Use the designated space to explain why you disagree with the referee’s decision. If your appeal is late, provide an explanation for that as well.
  • Continue Certifying for Benefits: Remember to certify for benefits every two weeks during the appeal process, as failure to do so may affect your eligibility.
  • Serve the Opposing Party: A copy of your appeal must be mailed or hand-delivered to the opposing side. Keep records of how and when you served this document.
  • Additional Evidence Requirements: If you are submitting additional evidence, you must explain why it could not be presented at the hearing and certify that it was sent to the opposing party.
  • Signature and Certification: Ensure that you sign the form and provide the date. This certifies that you have followed the required procedures for serving the appeal.

Following these guidelines can help ensure that your appeal is properly submitted and considered by the Board of Review.