Wyoming Unemployment Determination Appeal Request
WYOMING UNEMPLOYMENT DETERMINATION APPEAL REQUEST
Before sending: Under Wyo. Stat. § 27-3-402(a), (e), an appeal of an initial determination must be filed within 28 days after notice was mailed to the party's last known address of record. The Department of Workforce Services describes this as 28 calendar days. If you elected approved electronic delivery, § 27-3-401(c) supplies its own deemed-delivery rule using the acknowledgment date, or the transmission date if none exists. Read your notice for the submission route. This form is for an initial nonmonetary determination; a monetary determination has a separate protest path.
Date: [__/__/____]
To appeal tribunal or submission destination stated on notice: [____________________________________________________________]
Claimant legal name: [________________________________]
Address of record: [________________________________]
Telephone number for hearing: [________________________________]
Email: [________________________________]
Claim or determination number: [________________________________]
Date on determination: [__/__/____]
Date notice was mailed or approved electronic delivery was acknowledged: [__/__/____]
Appeal and hearing request
I appeal the initial unemployment determination identified above and request review by an appeal tribunal. I disagree with the determination for these reasons:
[____________________________________________________________]
[____________________________________________________________]
Facts or corrections supporting my appeal:
[____________________________________________________________]
[____________________________________________________________]
Documents available: ☐ Determination ☐ Pay records ☐ Separation records ☐ Messages ☐ Other: [________________]
Please send the hearing notice and decision to my address of record and use the telephone number above for scheduling. I will update my contact information promptly if it changes.
Claimant signature: [________________________________] Date: [__/__/____]
Submission record
Destination and method stated on notice: [________________________________]
Date and time filed: [________________________________]
Confirmation or proof retained: [________________________________]
Sources
About this template
- Last updated
- October 27, 2026
- Citations checked
- October 27, 2026
- Jurisdiction
- Wyoming
- Category
- Employment & HR
Legal authority
- Wyo. Stat. § 27-3-401(c) (approved electronic communications)
- Wyo. Stat. § 27-3-402(a), (e) (appeal of initial determination)
- Wyo. Stat. § 27-3-403(b) (appeal tribunal hearing and decision)
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.
Wyo. Stat. § 27-3-401(c) (checked October 27, 2026): "electronically transmitted information shall be deemed delivered on the date indicated on the acknowledgment required by this subsection"
Wyo. Stat. § 27-3-402(a) (checked October 27, 2026): "a determination is final unless a party entitled to notice applies for redetermination or appeals the determination within twenty-eight (28) days after notice is mailed to his last known address of record"
Wyo. Stat. § 27-3-402(e) (checked October 27, 2026): "The appeal shall be filed with the tribunal within twenty-eight (28) days after notice is mailed to the last known address of record of the interested party."
Wyo. Stat. § 27-3-403(b) (checked October 27, 2026): "After providing interested parties notice of and reasonable opportunity for hearing, the appeal tribunal shall make findings and conclusions"
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