ADOL Logo
Alabama Department of Labor
  back
Employer 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
Company Name:*
FEIN:*
 
Employee SSN:*
 
Employee Last Name:*
 
Employee First Name:*
 
Company Address 1:*
Company Address 2:
City:*
State:* Zip:*  
Company Contact:*
Contact Email Address:*
 
Re-enter Email Address:*
 
Telephone:*
 
Fax Number:
Please select one of the following reasons for your appeal and provide additional information below.*
I appeal because the claimant...
  • What is the cause for discharge
  • Was the claimant previously reprimanded/warned for same/similar misconduct
  • Did the claimant provide notice of resignation
    • Date notice provided
    • Reason for resignation
  • Approved dates for leave of absence
  • Reason for leave of absence
Additional Information:*
Please provide additional information about the appeal, based on the selection made above.
(Enter up to 500 characters)