Form No. 8-B. Unemployment Compensation Notice of Appeal

 

 

NOTICE OF APPEAL TO MISSOURI COURT OF APPEALS __________ DISTRICT

 

BEFORE THE LABOR AND INDUSTRIAL RELATIONS COMMISSION STATE OF MISSOURI

 

 ______________________________________

)

 

 

)

 

Appellant,

)

 

 

)

Social Security No. ________________________

vs.

)

Employment Security

 

)

Appeal No. _______________________________

 

)

Appellate Court No. ________________________

 ______________________________________

)

 

 

)

 

Respondent.

)

 

 

Notice is hereby given that __________ appeals to the Missouri Court of Appeals, __________ District.

 

 _______________________________________

 _________________________________________

Date notice of Appeal filed (to be filled in by Secretary of Commission)

Signature of Attorney or Appellant

 

(The appellant(s) must file the original notice of appeal and one copy for the Appellate Court with, and pay the docket fee required by the court rule to, the secretary of the commission within the time specified by law. Claimants for unemployment benefits do not have to pay the docket fee. Section 288.380.5 RSMo. At the same time appellant must serve a copy of the notice of appeal on attorneys of record of all parties other than appellant(s), and on all parties not represented by an attorney. The Division of Employment Security is by statute a party to all unemployment benefit appeals. Section 288.210 RSMo. Proof of service shall be made on the original and copy to be filed with the commission.)

 

CASE INFORMATION

 

TYPE NAME AND BAR EN- ROLLMENT NUMBER OF APPELLANT'S ATTORNEY

TYPE NAME AND BAR EN- ROLLMENT NUMBER OF RESPONDENT'S ATTORNEY

 _______________________________________

 _________________________________________

Street __________________________________

Street ____________________________________

City ____________________________________

City ______________________________________

State _________ Zip Code _________________

State _________ Zip Code ___________________

Telephone _______________________________

Telephone _________________________________

TYPE NAME OF EMPLOYEE

Employee ____________________________________________________________________________

Street _______________________________________________________________________________

City _________________________________________________________________________________

State _________ Zip Code ______________________________________________________________

Date of Commission Decision:

 ____________________________________________________________________________________

(Attach copy of Commission Decision)

 

DIRECTIONS TO COMMISSION

 

A copy of the notice of appeal and the docket fee shall be mailed forthwith to the clerk of the appellate court. The record on appeal shall be prepared and certified within such time as to enable timely filing by the appellant.

 

PROOF OF SERVICE

 

I have this day served a copy of this notice of appeal on each of the following persons at the address stated by __________ (ordinary mail, certified mail, personal service):

 

_______________________________________________________________

Signature of Attorney or Appellant

 

Date: __________, 20 ___