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Office of Administrative Hearings Appeal Form

Complete and submit this form to request an appeal of a Notice of Redetermination issued by the Unemployment Insurance Division.

In 3-5 business days, you will receive a packet in the mail from the Office of Administrative Hearings with the date of your hearing and your case information.

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Claimant Information

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Must be a valid Claimant ID
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Employer Information

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Appeal Details

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