Fla. Admin. Code Ann. R. 73B-20.003 - Form of Appeal

(1) A written statement that is responsive to and expresses disagreement with an adverse determination or redetermination shall constitute an appeal. A written statement that does not comply with this requirement is subject to dismissal as provided in Rule 73B-20.0221, F.A.C.

(2) The notice of appeal should include the following:

(a) The name, claimant identification number, and the last four digits of the social security account number of each claimant, if any, involved;

(b) The name and tax account number of each employer, if any, involved;

(c) The date, issue identification number, and subject matter of the determination;

(d) A concise statement of the reasons for disagreement with the determination;

(e) A concise statement of the reason the appeal is filed untimely, if applicable; and,

(f) Information related to the hearing, including: whether an interpreter is needed; whether a party will be represented and, if so, the telephone number of the representative; whether a party expects to call any witnesses and, if so, the telephone number(s) of the witness(es); and whether a party intends to use any documents or exhibits.

(3) To assist a party in ensuring all of the information listed in subsection (2) is included, an appeal may be filed online as provided by paragraph 73B-20.004(1)(a), F.A.C., or by completing the Notice of Appeal form A100(E) (English), Office of Appeals Notice of Appeal, Rev. 01/23, http://www.flrules.org/Gateway/reference.asp?No=Ref-15179; A100(S) (Spanish), Oficina de Apelaciones Aviso de Apelación, Rev. 01/23, http://www.flrules.org/Gateway/reference.asp?No=Ref-15180; A100(C) (Creole), Biwo Dapèl Avi Sou Apèl, Rev. 01/23, http://www.flrules.org/Gateway/reference.asp?No=Ref-15181, incorporated herein by reference, available at the Department's website, http://www.floridajobs.org/RAforms.

(4) Failure to include all of the information listed in subsection (2), will not constitute cause for rejection of the appeal, but may result in delay in processing the appeal and scheduling it for hearing.

Notes

Fla. Admin. Code Ann. R. 73B-20.003

Rulemaking Authority 443.012(11) FS. Law Implemented 443.151(4)(d) FS.

New 5-22-80, Formerly 38E-5.03, Amended 8-20-86, 8-7-01, Formerly 38E-5.003, 60BB-5.003, Amended 10-4-12, Amended by Florida Register Volume 45, Number 142, July 23, 2019 effective 8/5/2019, Amended by Florida Register Volume 49, Number 020, January 31, 2023 effective 2/15/2023.

New 5-22-80, Formerly 38E-5.03, Amended 8-20-86, 8-7-01, Formerly 38E-5.003, 60BB-5.003, Amended 10-4-12, 8-5-19, 2-15-23.