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Employer's Appeal To The Superior Court
EMPLOYER'S APPEAL TO THE SUPERIOR COURT State of Connecticut
Department of Labor

Employment Security Appeals Division

Use the Tab key to move forward a field and Shift-Tab to move back a field.  

Please do not use special characters such as "é" and "â" (for example in words such as "café" or "fiancé", and in some proper names as well) when entering your appeal; we have found that these characters can cause the appeal to be dropped by the system. We are working on fixing this problem.

Please also do not paste text into the text boxes as we've found that problems can be caused by doing this as well.


PARTY FILING APPEAL TO COURT: 

 

Board of Review Case Number: 
Date of Board of Review Decision: 

Employer Information
Employer Registration Number:
Employer Name:
Street:
City:
State: Zip Code: 
Contact Name:
Title:
Telephone Number: (

Employer Agent Information (If Applicable)
Employer Agent Name:
Street:
City:
State: Zip Code: 

Claimant Information (If Applicable)
Claimant Social Security Number:
Claimant Name:
Street:
City:
State: Zip Code: 

If this appeal is not transmitted within 30 days of the decision date, please explain why: 



IMPORTANT:

PLEASE BE SURE TO PRINT A COPY OF THE DATA CONFIRMATION PAGE THAT WILL DISPLAY AFTER YOU SUBMIT THIS FORM. KEEP THIS COPY FOR YOUR RECORDS.


IN SUBMITTING THIS FORM, I HEREBY APPEAL THE BOARD OF REVIEW's DECISION TO THE SUPERIOR COURT.




Please refer to An Employer's Guide to the Appeals Process for more information about the unemployment compensation appeals process.

 

 


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