De1430 Form PDF Details

When individuals find themselves navigating the complexities of unemployment, tax, or disability cases within California, they may encounter decisions rendered by Administrative Law Judges (ALJs) of the California Unemployment Insurance Appeals Board (CUIAB) that do not favor their position. For those who wish to contest an unfavorable ALJ decision, the DE 1430 form serves as a crucial tool. This form is essentially a gateway for appellants to officially communicate their disagreement and seek a further review by the Board within a stipulated period—30 calendar days from when the ALJ’s decision was mailed. In addition to providing basic information such as the appellant’s name, phone number, and address, the form requires a clear indication of the decision being appealed and necessitates the continuation of filing claim forms if benefits for the period in question are still desired. Importantly, it offers appellants the option to receive confidential information via email or text, a feature that underscores the Board’s effort to streamline communication. Furthermore, the form allows for the introduction of new evidence not previously presented, provided a rationale is given. Through this mechanism, the DE 1430 form embodies a critical aspect of procedural justice, offering a structured opportunity for appellants to voice their concerns and seek rectification or clarification on decisions impacting their livelihood.

QuestionAnswer
Form NameDe1430 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesappeal 1430, cuiab board appeal form, board appeal form, cuiab form

Form Preview Example

CUIAB – BOARD APPEAL

If you disagree with the unfavorable CUIAB Administrative Law Judge’s (ALJ) decision in your unemployment, tax or disability case, you must file your Board Appeal within 30 calendar days from the mailing date stamped on the front of the ALJ’s decision.

Claimant: You must continue to file claim forms during the time we are deciding your appeal if you wish to claim benefits for this period of time. If you are found ineligible for these benefits, however, you may be required to repay benefits received. Please direct all claim questions to the Employment Development Department (EDD) at: http://www.edd.ca.gov.

The following information must be provided by the party filing the appeal (Appellant) or authorized agent/representative.

Check party filing the appeal: Claimant Employer EDD

Appellant Name:

 

 

ALJ Decision Date and Case No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appellant Phone No.: (_______)

-

 

 

Appellant Fax No.: (_______)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appellant Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street No., Apt. No., P.O. Box

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you give permission for the CUIAB to send confidential information regarding your appeal to your e-mail address and/or cell phone

by voice or text message (Information may be received sooner)? Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

If

yes, please provide the e-mail address and/or cell phone number where you would like the information sent.

 

 

E

-mail Address:

Cell Phone No.: (_______)

-

 

 

 

 

 

 

 

 

 

 

 

Claimant Name:

Social Security No.:

 

–

 

–

Employer Account No.: (For Employer Only)

Appellant Agent or Representative Name (If applicable):

Mailing Address:

 

 

 

Street No., Apt. No., P.O. Box

City

State

Zip Code

Check box if you are not filing your appeal on time (within 30 days from the date listed on the front of the ALJ’s decision) and provide explicit details on reasons for the delay.

Check box if presenting new or additional evidence. Attach documents and explain why they were not presented at the hearing.

I disagree with the Administrative Law Judge’s decision because:

(If you need additional space please use the lines on the back of this page)

Signature of the Appellant or

 

 

 

Agent / Representative Required:

 

Date:

 

 

 

 

DE 1430 Rev. 3 (3-18)

- Español al reverso -

 

CU

CUIAB-APELACIÓN A LA JUNTA

Si usted no está de acuerdo con la decisión desfavorable del Juez de Justicia Administrativa (ALJ, por sus siglas en inglés) de la Junta de Apelaciones

del Seguro de Desempleo de California (CUIAB, por sus siglas en inglés), referente a su caso de desempleo, impuestos o de incapacidad, usted debe Apelar a la Junta dentro de 30 días de calendario de la fecha indicada en el frente de la decisión del Juez.

Solicitante: Usted debe continuar presentando sus formularios de solicitud de beneficios mientras decidimos su apelación si desea recibir beneficios durante este período de tiempo. Si decidimos que usted no es elegible para recibir estos beneficios, es posible que a usted se le requiera pagar los beneficios que recibió. Por favor dirija todas sus preguntas referente a la solicitud de beneficios a la oficina del Departamento del Desarrollo del Empleo en: http://www.edd.ca.gov.

La siguiente información debe ser proporcionada por la parte que presenta la apelación (el Apelante) o por el agente/representante autorizado.

Marque la parte que presenta la apelación: Solicitante Empleador Departamento del Desarrollo del Empleo

Nombre del Apelante:

 

 

Fecha de la Decisión del Juez y Número de Caso:

 

 

 

 

 

 

 

 

 

Número de Teléfono del Apelante :(_______)

-

 

Número de Fax del Apelante: (_______)

-

 

 

 

 

Dirección Postal del Apelante:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Número de Calle, Número de Apto. P.O. Box

 

Ciudad

 

Estado Código Postal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¿Da usted permiso para que la Junta de Apelaciones del Seguro de Desempleo de California le mande información confidencial relacionada a su apelación a la dirección de su correo electrónico y/o teléfono celular vía mensaje de voz o de texto (La información puede ser enviada más

rápida)? Sí No

Si contestó sí, favor de proporcionar su correo electrónico y/o número de teléfono celular a donde usted desee que se le envíe la información.

Dirección de Correo Electrónico:

 

Número de Teléfono Celular: (_______)

-

 

 

 

 

 

Nombre del Solicitante:

Número de Seguro Social:

 

–

 

–

 

 

 

 

 

 

 

Número de Cuenta del Empleador: (Sólo para Empleadores)

Nombre del Agente del Apelante o del Representante (Si aplica):

Dirección Postal:

 

Número de Calle, Número de Apto. P.O. Box

Ciudad

Estado Código Postal

 

 

 

 

 

 

Marque la casilla si usted no está presentando su apelación a tiempo (dentro de 30 días de la fecha indicada en el frente de la decisión del Juez) y explique con detalles específicos la razón por la tardanza.

Marque la casilla si usted está pidiendo presentar evidencia nueva o adicional. Adjunte los documentos y explique por qué no fueron presentadas en la audiencia.

No estoy de acuerdo con la decisión del Juez de Justicia Administrativa porque:

(Si necesita espacio adicional por favor use el lado reverso de esta página)

La Firma del Apelante o del

 

Agente/Representante es Requerida:

Fecha:

DE 1430 Rev. 3 (3-18)

- English version on other side -

MIC38/CU

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Filling out this form generally requires focus on details. Make sure that every blank is filled out accurately.

1. For starters, when completing the cuiab board appeal form, start with the form section that features the next fields:

Step # 1 of completing cuiab de

2. Just after finishing this section, go to the subsequent part and complete all required details in these blank fields - Check box if presenting new or, I disagree with the Administrative, Signature of the Appellant or, Date, and If you need additional space.

Filling out part 2 in cuiab de

3. The next step will be straightforward - fill out all the blanks in La siguiente información debe ser, Departamento del Desarrollo del, Empleador, Nombre del Apelante, Fecha de la Decisión del Juez y, Número de Teléfono del Apelante, Número de Fax del Apelante, Dirección Postal del Apelante, Número de Calle Número de Apto PO, Ciudad, Estado Código Postal, Da usted permiso para que la Junta, Si contestó sí favor de, Dirección de Correo Electrónico, and Número de Teléfono Celular in order to complete this process.

Best ways to prepare cuiab de part 3

Be extremely attentive while filling out Si contestó sí favor de and Nombre del Apelante, as this is the section in which a lot of people make mistakes.

4. The form's fourth section comes with these blank fields to look at: No estoy de acuerdo con la, La Firma del Apelante o del, Fecha, Si necesita espacio adicional por, DE Rev, English version on other side, and MICCU.

Si necesita espacio adicional por, MICCU, and English version on other side of cuiab de

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