Administrative Representative
Resume:
OR POSTMARKED BY:
WRITTEN APPEAL IS RECEIVED
DEPUTY DATE MAILED DECISION FINAL UNLESS A
FINDINGS AND DETERMINATION OF THE DEPUTY:
Week Ending: Wisconsin Law:
Issue Week: Applicable
SS # UI Acct. #:
IMPORTANT INFORMATION Division of Unemployment Insurance SEE REVERSE SIDE FOR Department of Workforce Development ID: 190012010 PAGE 1 OF 1 State of Wisconsin C RS100 UI LO #: 14
*366907884* 366 90 * 7884
DETERMINATION
ANTHONY T MITCHELL
1108 MOUND AVE APT 1
RACINE WI 53404-3368
01/19
01/05/19 108.04(2)(B) & DWD 127
THE CLAIMANT FAILED TO COMPLETE AN ONLINE RE-EMPLOYMENT SERVICES (RES) ASSESSMENT IN THE ABOVE WEEK WITHOUT JUSTIFIABLE CAUSE. NO BENEFITS ARE PAYABLE UNTIL THE CLAIMANT COMPLETES THE REQUIRED RES SERVICE.
TO COMPLETE THE REQUIREMENT, LOGON AT WWW.JOBCENTEROFWISCONSIN.COM. EFFECT
BENEFITS ARE DENIED BEGINNING 12/30/18 AND UNTIL THE CLAIMANT FULLY COMPLIES WITH RES REQUIREMENTS.
ADJUDICATOR 5040 01/07/19 01/22/19
See https://dwd.wisconsin.gov/uiben/services.htm for hours of operation. Employer name and location where the work was performed or fax.
determination regardless of whether you have been able to reach the department by telephone, mail, If you intend to appeal, you must file an appeal by the date stated on the front side of this UCB-20 (R. 09/25/2018) (U00243)
appeal. If you have any questions, refer to the online Handbook for Claimants at https://dwd.wisconsin.gov/uiben/handbook. If you are the claimant, you must continue to file weekly claims while this determination is under printing at https://dwd.wisconsin.gov/dwd/publications/ui/hearing.htm. Read all information carefully. When an appeal is filed, read the online booklet, Attending an Unemployment Insurance Hearing, available for viewing and DAYS PRIOR TO THE SCHEDULED HEARING.
IMMEDIATELY START PREPARING FOR A HEARING SINCE HEARING NOTICES MAY BE MAILED ONLY 6 the determination will remain final.
Judge will review the reason and determine whether a hearing will be held or will dismiss the appeal without a hearing and Appeals received or postmarked after the deadline must include a reason why you are filing late. The Administrative Law
* Claimant, employer or representative signature and date signed
* Any special needs such as an interpreter or other accommodations
* Dates and times when you and your witness(es) and/or representatives cannot attend a hearing
*
* Indication if it is a claimant or employer appeal
* Claimant name and social security number
* A copy of the determination or the 9-digit ID number located in the upper left-hand corner for each determination you want to appeal.
is a request for a hearing before an Administrative Law Judge. You must submit a separate request IF YOU DISAGREE WITH THIS DETERMINATION, YOU HAVE THE RIGHT TO FILE AN APPEAL. An appeal HOW TO FILE AN APPEAL
Assistance Line during business hours, or contact the department by mail or fax. If you have questions about employer charges or want to notify the department of an additional issue(s), contact the Employer FAX: 608-***-****
Menomonee Falls, WI 53052
Claimant Assistance Line: 414-***-****
P.O. Box 9001
Wisconsin Unemployment Help Center
the Claimant Assistance Line during business hours, or contact the department by mail or fax. This determination resolves an unemployment eligibility issue. If you have questions about this determination contact THIS INFORMATION IS IMPORTANT AND SHOULD BE READ IMMEDIATELY Madison, WI 53707
P.O. Box 7975
Madison Hearing Office
https://dwd.wisconsin.gov/ui/sides
Online:
Fax:
Mail:
Employer Assistance Line: 414-***-****
CLAIMANTS https://my.unemployment.wisconsin.gov
EMPLOYERS
WHERE TO FILE AN APPEAL
* Representative name and address, if you have one Filing by mail or fax include :
If filing by fax or online, your appeal must be received by midnight (Central Time). To be timely, your appeal must be received or postmarked by the last appeal date shown on the front of this determination.
Contact this candidate