Alaska Unemployment Determination Appeal Request

Alaska Employment & HR Updated October 27, 2026 Free Word and PDF

ALASKA UNEMPLOYMENT DETERMINATION APPEAL REQUEST

Before sending: File within 30 days after the determination was delivered to you in person or mailed to your last address of record. Alaska Stat. § 23.20.340(e) and 8 AAC 85.151(b) allow a reasonable extension if circumstances beyond your control prevented timely filing; explain those circumstances below if applicable. Use the destination on your determination. This request concerns a benefit determination, not a tax determination or a later tribunal decision.

Date: [__/__/____]

To: Appeal Tribunal / Alaska Department of Labor and Workforce Development

Filing destination shown on determination: [________________________________]

Claimant name: [________________________________]

Address of record: [________________________________]

Telephone: [________________________________]

Email: [________________________________]

Claim number: [________________________________]

Determination or redetermination date: [__/__/____]

Date personally received or mailed, as shown on notice: [__/__/____]

Appeal

I appeal the unemployment benefit determination identified above. I request review by an appeal tribunal and an opportunity to present testimony and evidence.

Reason I disagree with the determination:

[____________________________________________________________]

[____________________________________________________________]

Facts and records I ask the tribunal to consider:

[____________________________________________________________]

[____________________________________________________________]

If this appeal may be late, circumstances beyond my control that delayed filing:

[____________________________________________________________]

[____________________________________________________________]

Please send appeal and hearing notices to my address of record above. I will promptly report any change in my contact information.

Claimant or authorized representative signature: [________________________________]

Printed name and role, if representative: [________________________________]

Date signed: [__/__/____]

Filing record

Method: ☐ Mail ☐ Email ☐ Fax ☐ In person ☐ Other permitted method: [________________]

Date and time sent or delivered: [________________________________]

Delivery confirmation retained: [________________________________]

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About this template

Last updated
October 27, 2026
Citations checked
October 27, 2026
Jurisdiction
Alaska
Category
Employment & HR

Legal authority

  • Alaska Stat. § 23.20.340(e)-(f)
  • Alaska Stat. § 23.20.415(a)
  • 8 Alaska Admin. Code § 85.151(a)-(b)

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 October 27, 2026.

Alaska Stat. § 23.20.340(e)-(f) (checked October 27, 2026): "The claimant may file an appeal from an initial determination or a redetermination under (b) of this section not later than 30 days"

Alaska Stat. § 23.20.415(a) (checked October 27, 2026): "A party entitled to notice of determination provided in AS 23.20.340 may file an appeal from the determination to an appeal tribunal"

8 Alaska Admin. Code § 85.151(a)-(b) (checked October 27, 2026): "An oral or written protest indicating a desire to appeal is an appeal to a referee or the commissioner."

Alaska Department of Labor and Workforce Development, Appeals Guide — Filing the Appeal (checked October 27, 2026): "You can file a benefit appeal by mail, email, fax, or telephone."

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