South Dakota Reemployment Assistance Determination Appeal Request
SOUTH DAKOTA REEMPLOYMENT ASSISTANCE DETERMINATION APPEAL REQUEST
Before sending: SDCL 61-7-5 distinguishes an application to reopen an initial determination from an appeal of an adjusted determination. The 15-day period runs after notice is mailed to the last known address. ARSD 47:06:05:01 requires a written request. Follow the deadline printed on the determination. The Department accepts a mailed or faxed written request or in-person delivery to a South Dakota job service office; it does not accept an appeal by phone or email. Its Form 068 is available, but the agency also describes the required contents of a written request. Keep a complete copy and proof of timely filing.
Date: [__/__/____]
To: Appeals Section, Reemployment Assistance Division, South Dakota Department of Labor and Regulation
Mail: P.O. Box 4730, Aberdeen, SD 57402-4730
Fax: 605-626-2322
Claimant legal name: [________________________________]
Social Security number (required by agency instructions): [________________________________]
Claimant ID, if shown: [________________________________]
Mailing address: [________________________________]
Phone: [________________________________]
Determination issue or number: [________________________________]
Determination date: [__/__/____]
Date the determination was mailed, if known: [__/__/____]
Appeal deadline printed on determination: [__/__/____]
Determination being challenged: ☐ Initial determination (application for reopening) ☐ Adjusted determination (appeal)
Written appeal and hearing request
I challenge the Reemployment Assistance Division determination identified above. I apply for reopening of an initial determination or appeal an adjusted determination, as selected above, and request a hearing. I disagree with the determination for this reason:
[____________________________________________________________]
[____________________________________________________________]
Facts I ask the Appeals Section to consider:
[____________________________________________________________]
[____________________________________________________________]
The decision or correction I request: [________________________________]
Documents enclosed or available: ☐ Determination ☐ Separation record ☐ Pay record ☐ Other: [________________]
If filed after the stated deadline, why the filing is late and why I ask the Department to accept it for good cause: [________________________________________________________________ / NOT APPLICABLE]
Please send hearing notices and the decision to my mailing address above. I will promptly report a change in that address or my hearing telephone number. I understand that I should continue filing weekly payment requests while the appeal is pending if I remain unemployed and seek benefits for those weeks.
Claimant signature: ______________________________ Date: [__/__/____]
Filing record
Method: ☐ Fax ☐ Mail ☐ Delivered to a South Dakota job service office
Date and time submitted: [________________________________]
Fax confirmation, mailing receipt, or office acknowledgment retained: [________________________________]
Official sources
About this template
- Last updated
- November 2, 2026
- Citations checked
- November 2, 2026
- Jurisdiction
- South Dakota
- Category
- Employment & HR
Legal authority
- SDCL 61-7-5 (initial determination appeal period)
- ARSD 47:06:05:01 (written appeal)
Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on November 2, 2026.
SDCL 61-7-5 (checked November 2, 2026): "Unless the claimant, or any other interested party, within fifteen days after notice has been mailed to the claimant's or the interested party's last known address, applies for reopening of the initial determination or files an appeal from the adjusted determination, the determination shall be final insofar as an appeal by interested parties is concerned"
ARSD 47:06:05:01 (checked November 2, 2026): "An application for reopening a determination or an appeal from a determination, as provided in SDCL 61-7-5, must be in writing."
South Dakota Department of Labor and Regulation, Appeals (checked November 2, 2026): "You must submit a written request to the Appeals section by the date listed on your determination notice. You must include the following in your request: Your name The reason for the appeal Your Social Security number"
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