How to File an Appeal
To appeal you can file online or write to the department stating that you are appealing a determination. The appeal must be submitted, mailed, hand-delivered or faxed to the hearing office listed on the reverse side of your written determination.
To be timely, your appeal must be received or postmarked by the last appeal date shown on the front of the determination.
We encourage you to file your appeal online at:
Employers & Representatives:
File an appeal online at:
(and follow the instructions on the form)
- Copy of the determination
- Claimant's name and social security number
- Dates and times when you and your witnesses and/or representatives cannot attend a hearing
- Any special needs such as an interpreter or other accommodations