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If you want to appeal a Board of Review decision about your unemployment insurance benefits, you will need to file an Affidavit of Last Known Address, along with a Complaint for Administrative Review and a Summons.
Check with your local clerk of court's office to see if they have an Affidavit of Last Known Address form. If they do, use your local court's form. If no form exists, you can use this form.
Learn how to appeal a Board of Review decision for unemployment.
This Affidavit of Last Known Address is specific to administrative reviews for unemployment and should not be used for other cases.
To complete this form, you will need:
- The name of the employer your complaint is against, and
- The employer's address.
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Worried about doing this on your own? You may be able to get free legal help.
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