Illinois Notice Appeal Form Details

In the state of Illinois, if you wish to appeal a notice that has been issued to you by a government agency, you will need to complete and submit the Illinois Notice Appeal Form. The form can be found on the website of the Illinois Secretary of State, and must be submitted within 30 days of receiving the notice. Note that there are certain restrictions on who is allowed to file an appeal, so be sure to check those before submitting your form. Completing and filing this form will provide you with the opportunity to present your case and argue why you believe the notice should not have been issued in the first place. By taking this step, you may be able to avoid any penalties or consequences that would otherwise be imposed.

Below is some data that may be handy if you are aiming to find out how much time it will require you to fill out illinois notice appeal and what number of PDF pages it includes.

QuestionAnswer
Form NameIllinois Notice Appeal
Form Length1 pages
Fillable?Yes
Fillable fields28
Avg. time to fill out5 min 55 sec
Other namesides appeal form, illinois notice appeal form, illinois unemployment appeal, ides overpayment appeal form

Form Preview 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)

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