Rhode Island Unemployment Determination Appeal Request
RHODE ISLAND UNEMPLOYMENT DETERMINATION APPEAL REQUEST
Before sending: This request appeals an initial Department of Labor and Training unemployment determination. Send it to the Department's Central Adjudication Unit within 15 calendar days after the decision's mailing date. G.L. 1956 § 28-44-39(b) permits an extension for good cause shown. An appeal from a Referee's decision uses a different Board of Review route. Follow the instructions printed on the decision if they identify a different filing channel.
Date: [__/__/____]
To: Central Adjudication Unit, Rhode Island Department of Labor and Training
By mail: PO Box 20067, Cranston, RI 02920-0941
By fax: (401) 462-8318
Claimant name: [________________________________]
Claimant mailing address: [________________________________]
Phone: [________________________________]
Social Security number (for the agency's identification requirement; use a secure channel): [________________________________]
Case number on the decision: [________________________________]
Decision mailing date: [__/__/____]
Appeal
I appeal the Rhode Island Department of Labor and Training unemployment determination identified above. I ask that the determination be reviewed and that I receive a Referee hearing.
Reason for appeal: [____________________________________________________________]
[____________________________________________________________]
Result requested: [____________________________________________________________]
Documents I am submitting with this request: [________________________________]
If this appeal may be late
☐ I believe the request is timely.
☐ I request an extension for good cause under G.L. 1956 § 28-44-39(b). The circumstances and dates explaining the delay are:
[____________________________________________________________]
[____________________________________________________________]
Documents supporting this explanation: [________________________________]
Please send the appeal acknowledgment and hearing notice to the address above. I will continue weekly UI Online or Telecert certifications while this appeal is pending for any weeks for which I seek benefits.
Claimant signature: ______________________________ Date: [__/__/____]
Filing record
Method: ☐ Mail ☐ Fax ☐ UI Online, using the Department's Appeal a Decision function
Date and time sent: [__/__/____] [____]
Postmark, fax confirmation, or online receipt: [________________________________]
Keep a copy of this appeal, the determination, and proof of submission.
Official sources
About this template
- Last updated
- October 27, 2026
- Citations checked
- October 27, 2026
- Jurisdiction
- Rhode Island
- Category
- Employment & HR
Legal authority
- G.L. 1956 § 28-44-39(b) (initial determination 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 October 27, 2026.
G.L. 1956 § 28-44-39(b), quoted in Aponte v. Department of Labor and Training Board of Review, District Court No. 6AA-2026-00052 (Sept. 29, 2026) (checked October 27, 2026): "For good cause shown the fifteen (15) day period may be extended."
Rhode Island Department of Labor and Training, Appeal a Decision (checked October 27, 2026): "Appeals should be made within 15 calendar days (including weekends and holidays) of the mail date on your decision."
Rhode Island Department of Labor and Training, Appeal a Decision (mail and fax) (checked October 27, 2026): "In your appeal, please provide your name, social security number, address, case number you are appealing and reason for appeal."
Rhode Island Department of Labor and Training, Board of Review (appeal stage) (checked October 27, 2026): "Only use the Board of Review’s Online Appeal Form if you are appealing a Referee’s decision."
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