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

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           Signature of Attorney or Appellant
                       Commission)

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