[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Unemployment Appeals Division] [Montana Department of Labor & Industry] [P.O. Box 1728] [Helena, MT 59624-1728] Subject: Order Affirming Decision — Unemployment Benefits Case of [Your Name] — Appeal No. [Appeal Number] Dear [Unemployment Appeals Division], I am writing in regard to the recent decision made regarding my unemployment benefits claim. I have received the official notice, dated [Date of Notice], asserting a denial of unemployment benefits related to my case. Upon careful review, I would like to file an appeal and request an Order Affirming Decision. I must emphasize that I strongly believe my eligibility for unemployment benefits is valid based on the circumstances of my separation from employment. Therefore, I am requesting a thorough review of my case. To provide you with further details, here is a summary of my situation: 1. Employment Details: — Employer's Name: [Employer's Name— - Dates of Employment: [Start Date] — [End Date— - Occupation/Position Held: [Job Title] 2. Reason for Separation: [Explain the reason for the separation, including any supporting documentation or evidence that can substantiate your claim.] 3. Initial Decision and Grounds for Appeal: — Reference Number: [Reference Number— - Original Decision Date: [Date of Original Decision] — Grounds for Appeal: [Explain the reasons for appealing the initial decision, ensuring you address any discrepancies or errors that may have occurred during the decision-making process.] 4. Evidence to Support Eligibility: [Provide a comprehensive list of evidence, including documents, witnesses, or any other relevant information that supports your claim for unemployment benefits. It is crucial to mention specific dates, conversations, or any records that can validate your case.] 5. Request for Order Affirming Decision: — Appeal Number: [Appeal Number— - Requested Outcome: [State clearly that you are requesting an Order Affirming Decision in your favor, reinstating your eligibility for unemployment benefits based on the evidence presented.] I kindly request that my appeal be processed promptly and efficiently. I am prepared to provide any additional information or attend any necessary hearings or interviews to support my claim. Please acknowledge receipt of this letter by providing me with a confirmed appeal number and a timeline for further proceedings. I look forward to a fair reconsideration of my case. Thank you for your attention to this matter. Sincerely, [Your Name]