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Get IL APL124F 2011-2021

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. Print Save State of Illinois Department of Employment Security www. ides. illinois. gov Notice of Appeal / Board of Review Name of Appellant Check One Claimant s SS Address City Attachments Employer Address 2 Apt/Floor/Unit State Date Appeal Filed Zip Code Docket 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. 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. 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. .

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