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Claimant's Motion To Reopen A Decision Of The Board Of Review
CLAIMANT'S MOTION TO REOPEN
A DECISION OF THE BOARD OF REVIEW		 State of Connecticut
Department of Labor
Employment Security Appeals Division
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Please Note the following:
  • We have found that problems may occur with this page when using a mobile device. We recommend filing your appeal from a desktop or laptop computer.
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  • 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 MOTION:

 

Board of Review Case Number: 
-  -  		Date of Board of Review Decision: 
Claimant Information
Claimant Social Security Number: - - 
Claimant Name:
Street:
City:
State: Zip Code: 
Telephone Number: () - 
Claimant Agent Information (If Applicable)
Claimant Agent Name:
Street:
City:
State: Zip Code: 
Employer Information (If Applicable)
Employer Registration Number: - - 
Employer Name:
Street:
City:
State: Zip Code: 
I move to reopen the Board of Review's decision for the following reason(s):


 

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

IMPORTANT:
CLAIMANT - CONTINUE TO FILE: Please check the box below to acknowledge that you understand that you must continue to file claims pending a decision by the Referee on your appeal. If you fail to file a claim each week, as directed, no benefits can be paid for those weeks, irrespective of the decision of the Board of Review.

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. YOUR COPY OF THE DATA CONFIRMATION PAGE VERIFIES THAT YOUR APPEAL HAS BEEN FILED AND RECEIVED FOR PROCESSING BY YOUR LOCAL AMERICAN JOB  CENTER.


IN SUBMITTING THIS FORM, I HEREBY MOVE TO REOPEN THE BOARD OF REVIEW'S DECISION
Please refer to A Claimant's Guide to the Appeals Process for more information about the unemployment compensation appeals process.

 

 


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