ADOL Logo
Alabama Department of Labor
  back
Claimant Appeal Benefit Determination
Filing Instructions:
Please fill out all of the required fields to file an appeal for your Unemployment Insurance determination.

Please do not submit your appeal on the same determination more than once. If you provided a valid email, you will receive a confirmation for the transmitted appeal.
* required fields
Last Name:*
 
First Name:*
 
SSN:*
 
Street Address 1:*
Street Address 2:
City:*
State:*   Zip:*  
Telephone:*
 
Email Address:
 
Please select one of the following reasons for your appeal.*
I appeal that I...
Additional Information:(Optional)
Please provide additional information about the appeal, based on the selection made above.
(Enter up to 500 characters)