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The Illinois Notice of Appeal form is an essential document for individuals who wish to challenge a decision made by the Department of Employment Security (IDES) regarding unemployment benefits. This form serves both claimants and employers, allowing them to initiate the appeals process formally. Key information required includes the name of the appellant, their Social Security number, and contact details. The date the appeal is filed and the corresponding docket number must also be provided. A critical aspect of the form involves outlining the reasons for disagreement with the referee's decision, and if applicable, explaining any delays in filing or reasons for non-attendance at the initial hearing. Clear instructions guide users in certifying their appeal and notifying the opposing party. Ensuring that ongoing certification for benefits occurs during the appeal is crucial, as is the requirement to submit additional evidence with appropriate justifications for its late introduction. Users must adhere to all guidelines outlined by IDES to improve the chances of a successful appeal.

Illinois Notice Appeal Example

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 Characteristics

Fact Title Description
Governing Laws The Illinois Notice of Appeal form is governed by the Illinois Department of Employment Security (IDES) Administrative Rule 2720.315.
Purpose of Form This form allows individuals to formally appeal a decision made by a referee in unemployment benefit cases.
Eligibility Both claimants and employers may file an appeal using this form, making it a versatile tool for dispute resolution.
Required Information Appellants must provide specific details such as name, address, SSA number, date of appeal, and docket number.
Attachments Appellants can attach a letter of appeal and other necessary documents to support their case.
Continued Certification Claimants are required to continue certifying for benefits during the appeal process to maintain their entitlement to unemployment benefits.
Service of Document The appeal must be served to the opposing party and must include proper certification of service.

Guidelines on Utilizing Illinois Notice Appeal

Once you complete the Illinois Notice Appeal form, you will need to submit it to the Board of Review and the opposing party. Be sure to follow the instructions carefully to ensure that your appeal is processed correctly.

  1. Identify your status by checking either the "Claimant" or "Employer" box at the top.
  2. Fill in the name of the appellant.
  3. Enter the Claimant’s Social Security number.
  4. Provide the Claimant's address, including the apartment, floor, or unit number if applicable.
  5. Fill in the city, state, and zip code.
  6. Write the date the appeal is being filed.
  7. Include the docket number associated with your case.
  8. List any attachments, such as your letter of appeal or other supporting documents.
  9. In the designated space, detail the reasons for your disagreement with the referee's decision. If your appeal is late, explain why. Also, provide reasons if you missed the hearing.
  10. Sign and date the form as the appellant.
  11. If an IDES representative is involved, make sure they also sign and date the form, including their ID number.
  12. Certify how you served a copy of this document to the opposing party by filling in the requested information and signing.
  13. Ensure you keep a copy of the completed form for your records.

What You Should Know About This Form

What is the Illinois Notice Appeal form used for?

The Illinois Notice Appeal form is used to formally appeal a decision made by a referee regarding unemployment benefits. It allows either the claimant or employer to state their disagreement with the previous decision and present reasons for the appeal to the Board of Review.

Who can file an appeal using this form?

Both claimants and employers have the right to file an appeal. The form requires the individual to indicate whether they are the claimant or the employer, ensuring that the relevant party is identified during the appeals process.

What information do I need to provide when filling out the form?

You'll need to provide identifying information, including the name of the appellant, the Social Security number of the claimant, and contact addresses. Additionally, you must state the reasons for your appeal and any circumstances that affected your ability to attend the original hearing.

What should I do if I missed the hearing?

If you did not attend the referee's hearing, you must explain the reasons for your absence on the form. This explanation can help the Board of Review understand your situation and decide whether to consider your appeal despite the missed hearing.

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

Yes, you are required to continue certifying for benefits through Tele-Serve or online for every two-week period that you are unemployed while your appeal is being processed. This ensures that you do not lose your eligibility for benefits during the appeal.

What happens if I want to submit additional evidence after the hearing?

If you wish to submit additional evidence, you must explain why you could not provide it during the initial hearing. You also need to certify that this evidence has been sent to the opposing party. Include the method of delivery, such as certified mail or in-person delivery.

How do I serve a copy of the appeal to the opposing side?

You must mail or hand-deliver a copy of your appeal to the opposing party. It is essential to document how you served them by checking the appropriate method on the form and providing the date of service.

Is there a deadline for submitting my appeal?

It is crucial to file your appeal within the specified time frame set by the Illinois Department of Employment Security. Be sure to check the guidelines for the specific deadline applicable to your situation to avoid losing your right to appeal.

Where can I find more information about the appeals process?

You can find additional information in the IDES publication titled “APPEALING TO THE BOARD OF REVIEW.” This publication is available online and at any local IDES office, providing detailed guidance on the appeals process and requirements.

Can I get help with completing the Notice Appeal form?

If you need assistance completing the form, you can reach out to local legal aid organizations or consult with a representative at an IDES office. They can provide guidance and ensure that your form is filled out correctly.

Common mistakes

Filling out the Illinois Notice Appeal form can be straightforward, but many individuals make common mistakes that can undermine their appeal. Understanding these mistakes is crucial for a successful submission. One common error is failing to provide accurate identifying information. Appellants must ensure their name, address, and social security number (SSN) are correct. Incorrect information can lead to delays or even dismissal of the appeal.

Another frequent mistake is neglecting to specify the reason for the appeal clearly. In the designated space, it's essential to articulate why the decision was disagreed with. Vague statements or simply restating the referee's decision without providing a rationale will not be sufficient.

Some individuals overlook the importance of addressing the late filing of an appeal. If the appeal is being filed after the deadline, it is vital to explain why it is late. Failing to include this explanation can weaken your case. Additionally, people sometimes skip detailing their absence from the referee’s hearing. If applicable, provide a clear reason for not attending, as this further supports your position.

Many forget to include the necessary attachments. If there are documents that support the appeal, they should be attached appropriately. Additionally, ensuring that any additional evidence is submitted properly is critical. Always certify that these documents have been sent to the opposing party, as required.

Another mistake is not following through with benefits certification during the appeal process. Even while challenging a decision, claimants must continue to certify for benefits every two weeks. Failing to do so could impact eligibility or delay future benefits.

Often, appellants do not take the time to review the entire form before submission. This can lead to incomplete fields or unchecked boxes, which can result in processing problems. Always double-check the form for completeness and accuracy.

Finally, some individuals do not retain copies of their submission. Keeping a copy of all documents sent is crucial for tracking the appeal process and for future reference. This simple habit can prevent misunderstandings and provide proof of what was submitted.

Documents used along the form

The Illinois Notice Appeal form is an important document for individuals disputing a decision regarding unemployment benefits. When dealing with an appeal, several additional forms and documents may come into play. Each has its specific role in ensuring the appeal process runs smoothly.

  • Letter of Appeal: This letter outlines the reasons for the appeal in detail. It allows the appellant to present their argument in a structured way and explains why the referee's decision should be reconsidered.
  • Evidence Submission Form: If additional evidence is to be submitted with the appeal, this form is crucial. It requires details about the evidence and how it supports the appeal. Providing clear information increases the chances of the evidence being accepted.
  • Certification of Service: This document proves that a copy of the appeal and any evidence has been properly served to the opposing party. It's essential for transparency in the appeal process and makes sure all parties are informed.
  • Request for Waiver of Hearing: In certain situations, an appellant might want to waive their right to a hearing. This form requests that the Board of Review makes a decision based on the submitted documentation only, without an oral hearing.

Understanding these forms and documents is vital for anyone navigating the appeal process in Illinois. Properly preparing and submitting them can significantly impact the outcome of the appeal.

Similar forms

  • Illinois Claim for Benefits - Like the Notice Appeal form, this document serves to initiate a process regarding unemployment benefits. It requires the claimant to provide personal details and reasons for their claim, ensuring that necessary information is passed along for evaluation.
  • Illinois Employment Security Act Claim Form - This form focuses on claims made against decisions issued by the Department of Employment Security. Similar to the Notice Appeal, it includes sections for personal information and arguments against previous rulings, fostering transparency in the appeals process.
  • Request for Reconsideration Form - When a claimant believes an earlier decision was incorrect, they can submit this form. It aligns with the Notice Appeal in enabling individuals to contest prior determinations and requires the same clarity in reasons for disagreement.
  • Illinois Board of Review Request for Hearing - This document, similar to the Notice Appeal form, triggers a review process. It enables the appellant to present their case, emphasizing the need for due process and clear communication regarding their objections.
  • Illinois Notice of Decision - While this document communicates the results of a claim, it shares a relationship with the Notice Appeal form. Both documents outline the decision-making process, with the latter providing a means for challenging a notice received.
  • Written Statement of Appeal - This serves as a companion to the Notice Appeal form. It allows for a more detailed explanation of the reasons for appeal, maintaining consistency in procedural requirements and ensuring that all arguments are presented comprehensively.

Dos and Don'ts

When filling out the Illinois Notice Appeal form, it’s important to be diligent and thorough. Here’s a list of things you should and shouldn't do:

  • Do read the form carefully before starting. Make sure you understand what information is needed.
  • Do fill in all required fields. Incomplete forms can lead to delays.
  • Do provide clear reasons for your appeal. Be concise but thorough in explaining your disagreement.
  • Do sign and date the form once it’s completed. Your signature is crucial for the form’s validity.
  • Do keep a copy of the completed form for your records. This is important for tracking your appeal.
  • Don't neglect to explain any late filings. If applicable, state why your appeal is being submitted late.
  • Don't forget to certify that you served a copy of the appeal to the opposing side. This is a mandatory requirement.
  • Don't submit extra evidence without explaining why it wasn’t introduced at the hearing. Be sure to provide a valid reason.
  • Don't ignore any specific instructions included in the form. Every detail matters in the appeal process.

Misconceptions

Understanding the Illinois Notice of Appeal form is essential for anyone involved in an appeal process. However, several misconceptions can lead to confusion. Here are seven common misconceptions about this form, along with clarifications to help clear things up.

  1. It’s Only for Claimants: Many people think only claimants can use this form. In reality, both claimants and employers can file an appeal using this document.
  2. Filing Late Means Automatic Denial: Some believe that filing the appeal late guarantees rejection. While timeliness is important, the form allows space to explain why the appeal is late, which can be considered.
  3. Proof of Service is Optional: Some think that they can skip the proof of service requirement. However, it is mandatory to show that the opposing party received a copy of the appeal.
  4. One Submission is Enough: There’s a misconception that submitting only the notice of appeal is sufficient. In fact, any additional evidence also needs to be served on the opposing party.
  5. Appeals are Just Formalities: Many believe that appealing is merely a formality and that outcomes are guaranteed. Yet, appeals involve a careful review of the case, and decisions are made based on the facts presented.
  6. You Don’t Have to Continue Certifying for Benefits: Some assume that they can stop certifying for benefits during the appeal process. However, it’s essential to continue certifying every two weeks during the appeal.
  7. Clarification Isn’t Required for New Evidence: Lastly, people sometimes think they can submit new evidence without explaining why it wasn’t presented earlier. The form requires an explanation for any new information introduced.

Clarifying these misconceptions can help ensure that individuals correctly complete the Illinois Notice of Appeal form and navigate the appeal process more smoothly.

Key takeaways

Filling out and utilizing the Illinois Notice Appeal form requires careful attention to detail. Below are key takeaways related to the process.

  • The Notice of Appeal form is used by both claimants and employers to appeal a referee's decision.
  • The appellant must clearly indicate their status by checking either "Claimant" or "Employer."
  • Provide the claimant's Social Security number, address, and contact information accurately.
  • The date the appeal is filed and the docket number must be noted on the form.
  • Attachments such as letters of appeal may be submitted alongside the form as necessary.
  • State the reasons for the disagreement with the referee's decision in the designated space.
  • If the appeal is late, an explanation must be included as to why that is the case.
  • It is imperative to continue certifying for benefits throughout the appeal process via Tele-Serve or online during each unemployment period.
  • A signature from the appellant and from an IDES representative is required on the form.
  • Submit a copy of the appeal to the opposing party and document how it was served, whether through certified mail or in person.
  • For additional guidance, review the IDES publication entitled “APPEALING TO THE BOARD OF REVIEW.”

Each step in filling out the form is crucial to ensure the appeal is processed efficiently. Make sure to follow all instructions closely to avoid delays.