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IOWA WORKFORCE DEVELOPMENT APPEALS BUREAU 1000 EAST GRAND AVENUE DES MOINES IOWA 50319-0209 DATE RECEIVED IN LOCAL OFFICE MUST BE NOTED By NOTICE OF APPEAL/Application for Rehearing 60-0169 01-06 - - 3090604 If no postmarked envelope DATE OF DECISION SOCIAL SECURITY NUMBER DATE APPELLANT RECEIVED DECISION NAME OF CLAIMANT Proceedings before the Unemployment Insurance Appeals Bureau and the Employment Appeal Board are public records. This means that the public has access to the hearings decisions exhibits transcripts and recordings without prior notice to you. Decisions issued by the Unemployment Insurance Appeals Bureau are posted on the agency s website. Claimstaker NAME OF EMPLOYER OTHER INTERESTED PARTY Completion of a separate form is required for each action initiated below I/We wish to CHECK ONE Appeal this Decision of the Workforce Development Representative Mail to Iowa Workforce Development Appeals Bureau at the Address above. IOWA WORKFORCE DEVELOPMENT APPEALS BUREAU 1000 EAST GRAND AVENUE DES MOINES IOWA 50319-0209 DATE RECEIVED IN LOCAL OFFICE MUST BE NOTED By NOTICE OF APPEAL/Application for Rehearing 60-0169 01-06 - - 3090604 If no postmarked envelope DATE OF DECISION SOCIAL SECURITY NUMBER DATE APPELLANT RECEIVED DECISION NAME OF CLAIMANT Proceedings before the Unemployment Insurance Appeals Bureau and the Employment Appeal Board are public records. This means that the public has access to the hearings decisions exhibits transcripts and recordings without prior notice to you. Decisions issued by the Unemployment Insurance Appeals Bureau are posted on the agency s website. Claimstaker NAME OF EMPLOYER OTHER INTERESTED PARTY Completion of a separate form is required for each action initiated below I/We wish to CHECK ONE Appeal this Decision of the Workforce Development Representative Mail to Iowa Workforce Development Appeals Bureau at the Address above. Mail to the Employment Appeal Board Address given below. Make application for rehearing of this Appeal Board Decision* Mail to Employment Appeal Board Address given below. Copies SHOULD be sent to ALL parties of record not joining in the application* STATE SPECIFIC GROUNDS Signature of person appealing Date signed Current Address If employer is appealing enter title Equal Opportunity Employer/Program Auxiliary aids and services are available upon request to individuals with disabilities. IOWA WORKFORCE DEVELOPMENT APPEALS BUREAU 1000 EAST GRAND AVENUE DES MOINES IOWA 50319-0209 DATE RECEIVED IN LOCAL OFFICE MUST BE NOTED By NOTICE OF APPEAL/Application for Rehearing 60-0169 01-06 - - 3090604 If no postmarked envelope DATE OF DECISION SOCIAL SECURITY NUMBER DATE APPELLANT RECEIVED DECISION NAME OF CLAIMANT Proceedings before the Unemployment Insurance Appeals Bureau and the Employment Appeal Board are public records. This means that the public has access to the hearings decisions exhibits transcripts and recordings without prior notice to you. This means that the public has access to the hearings decisions exhibits transcripts and recordings without prior notice to you. Decisions issued by the Unemployment Insurance Appeals Bureau are posted on the agency s website. Claimstaker NAME OF EMPLOYER OTHER INTERESTED PARTY Completion of a separate form is required for each action initiated below I/We wish to CHECK ONE Appeal this Decision of the Workforce Development Representative Mail to Iowa Workforce Development Appeals Bureau at the Address above.