Notice of Unemployment Benefits Appeal

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USE THIS FORM ONLY TO SUBMIT AN UNEMPLOYMENT BENEFITS APPEAL

To contact TWC for any other reason, see: Contact Information


Continue to request payment every two weeks while waiting on your appeal, unless you return to full-time work. Let us know right away if you change your mailing address. To change or verify your address, go to ui.texasworforce.org and select Contact information.


See How to Appeal a Decision, or read the document(s) you received from TWC for more information about the unemployment benefits appeals process.


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Claimant's Information

Claimant's Name:



Appeal Details






Note: If you are not the claimant, provide your name.
Name of Person Submitting the Appeal:


() -    Ext: 
(Include area code and extension.)




Caution: If you submit an appeal before TWC mailed the determination or decision, it will not be accepted.


 Year: 


  
  


Describe your reason for appealing. If you are submitting the appeal late or you did not attend a hearing, include an explanation about why your appeal is late or you did not attend. Also include any dates or times when you cannot participate in a hearing.






Caution: Your appeal IS NOT COMPLETE until you submit it and receive a confirmation number.