Unemployment Insurance Benefits Appeal — Arizona
Unemployment Insurance Benefits Appeal (ARIZONA)
Quick-Reference Summary
| Item | Detail |
|---|---|
| Governing statute | A.R.S. Title 23, Chapter 4 (Employment Security) |
| Administering agency | Arizona Department of Economic Security (DES), Unemployment Insurance Administration |
| Initial decision | Determination of Eligibility or Determination of Overpayment (DES Adjudication) |
| First-level appeal forum | Appeal Tribunal (DES Office of Appeals) — telephonic ALJ hearing |
| Second-level appeal forum | Appeals Board (three-member, A.R.S. § 23-672) — record review |
| Judicial review forum | Arizona Court of Appeals, Division One (direct review, A.R.S. § 41-1993; A.R.S. § 23-672(K)) — not Superior Court |
| Appeal Tribunal deadline | 15 calendar days from mailing of Determination (A.R.S. § 23-671) |
| Appeals Board deadline | 15 calendar days from mailing of Appeal Tribunal decision (A.A.C. R6-3-1504) |
| Court of Appeals deadline | 30 calendar days from Appeals Board final decision (A.A.C. R6-3-1404; A.R.S. § 41-1993) |
| Late appeal — grounds | Only (i) departmental error, (ii) DES misinformation, or (iii) failure by post office to deliver |
| Hearing format | Telephonic before ALJ; recording is the record |
| Burden — misconduct | Employer (Beaman v. Hayes, 196 Ariz. 559 (App. 2000)) |
| Burden — voluntary quit | Claimant — good cause connected with the work |
| Burden — refusal of suitable work | Employer/DES |
| Continued certification | Required — file weekly claims through CACTUS to preserve back pay |
| Forms | UIB-0126A (English) / UIB-0126A-S (Spanish): Request for Reconsideration / Appeal |
| Online filing | CACTUS portal: https://uibenefits.az.gov |
| Mail / fax | Address and fax printed on the Determination |
| Office of Appeals phone | Number printed on Determination |
| Court of Appeals self-help | https://coa1.azcourts.gov |
| Key precedent — misconduct | Beaman v. Hayes, 196 Ariz. 559 (App. 2000) |
Part A — Notice of Appeal (Initial Determination)
[DATE: __/__/____]
Via CACTUS Online Portal (preferred) OR Fax to [FAX FROM DETERMINATION] OR U.S. Mail (Certified, Return Receipt Requested — Article No. [________________]) to address printed on Determination
| To | From |
|---|---|
| DES — Office of Appeals | [CLAIMANT FULL LEGAL NAME] |
| Appeal Tribunal | SSN: XXX-XX-[____] |
| [ADDRESS FROM DETERMINATION] | [STREET ADDRESS] |
| [CITY, AZ, ZIP] | |
| [PHONE] • [EMAIL] |
RE: Request for Reconsideration / Appeal — A.R.S. § 23-671; UIB-0126A
| Field | Detail |
|---|---|
| Claimant name | [FULL LEGAL NAME] |
| Social Security No. | XXX-XX-[____] |
| DES Claim ID | [________________] |
| Type of Determination | ☐ Determination of Eligibility ☐ Determination of Overpayment |
| Determination ID | [________________] |
| Date of Determination | [__/__/____] |
| Date Determination was mailed | [__/__/____] |
| Filing deadline (15 calendar days from mailing) | [__/__/____] |
| Former employer | [EMPLOYER LEGAL NAME] |
| Date of separation | [__/__/____] |
Dear Office of Appeals:
Pursuant to A.R.S. § 23-671 and Ariz. Admin. Code R6-3-1502, the undersigned claimant hereby appeals the Determination identified above and requests a telephonic hearing before the Appeal Tribunal. A copy of the Determination being appealed is attached.
This appeal is timely: it is filed within fifteen (15) calendar days of the mailing date of the Determination.
Reason I Disagree with the Determination:
- [____________________________________________________________]
- [____________________________________________________________]
- [____________________________________________________________]
If filed late — Limited Grounds (only if applicable):
This appeal is filed [____] days after the 15-day deadline. The late filing is permitted because:
☐ Departmental error by DES.
☐ Misinformation provided by DES to the claimant.
☐ Failure by the U.S. Postal Service to properly deliver the Determination.
Explanation and supporting documents: [____________________________________________________________]
Hearing Logistics:
| Item | Detail |
|---|---|
| Preferred mode | Telephonic (default; in-person requires special request) |
| Telephone for hearing | [________________] |
| Interpreter needed | ☐ No ☐ Yes — Language: [________________] |
| ADA accommodation | ☐ No ☐ Yes — describe: [________________] |
| Witnesses (with phone numbers) | [________________] |
| Subpoena requested for | [________________] |
| Representation | ☐ Pro se ☐ Attorney ☐ Paralegal or other (supervised by attorney) — [NAME / PHONE] |
Signature (required by DES — appeal will not be processed without signature):
______________________________
[CLAIMANT NAME]
Date: [__/__/____]
I will continue to file weekly claims through CACTUS while this appeal is pending to preserve back benefits.
Part B — Pre-Hearing Brief / Position Statement
BEFORE THE ARIZONA DEPARTMENT OF ECONOMIC SECURITY
OFFICE OF APPEALS — APPEAL TRIBUNAL
| Party | Role |
|---|---|
| [CLAIMANT NAME], | Claimant-Appellant |
| v. | |
| [EMPLOYER NAME], | Employer-Respondent |
| Department of Economic Security, | Agency |
Appeal No.: [________________]
Hearing Date: [__/__/____] at [____] [AM/PM]
I. Statement of the Case
This appeal arises from the Determination of [Eligibility / Overpayment] dated [__/__/____], finding Claimant disqualified under [A.R.S. § 23-775(__)]. For the reasons below, the Appeal Tribunal should reverse.
II. Statement of Facts
- Employment: [EMPLOYER], [JOB TITLE], from [__/__/____] to [__/__/____].
- Average weekly wage: $[________].
- Reason for separation as stated by employer: [_____________________].
- Reason for separation as stated by claimant: [_____________________].
- [ADDITIONAL FACTS]
III. Legal Standard
| Issue | Burden | Standard / Citation |
|---|---|---|
| Misconduct discharge — A.R.S. § 23-775(2) | Employer | "Willful or negligent misconduct" connected with the work; deliberate violation or disregard of standards of behavior employer has right to expect (Beaman v. Hayes, 196 Ariz. 559 (App. 2000); A.A.C. R6-3-51490) |
| Voluntary leaving — A.R.S. § 23-775(1) | Claimant | Good cause connected with the work — a real, substantial, compelling reason (A.A.C. R6-3-50515) |
| Refusal of suitable work — A.R.S. § 23-776 | Employer/DES | Considers prior training/experience, risk to health/safety, distance, prevailing wages |
| Able and available — A.R.S. § 23-771 | Claimant | Physically able, available, actively seeking suitable work (A.A.C. R6-3-52510) |
| Overpayment — A.R.S. § 23-787 | DES | DES must prove overpayment occurred; recoupment available; fraud carries penalties |
IV. Argument
A. [PRIMARY POSITION]
[Argument applying facts to law with citations to A.R.S., A.A.C., and Arizona Court of Appeals UI decisions.]
B. [SECONDARY POSITION]
[Argument.]
V. Exhibit List
| Ex. | Description |
|---|---|
| C-1 | DES Determination dated [__/__/____] |
| C-2 | Separation notice / termination letter |
| C-3 | Employer handbook |
| C-4 | Written warnings |
| C-5 | Performance reviews |
| C-6 | Emails / texts |
| C-7 | Pay stubs |
| C-8 | Medical records (if applicable) |
| C-9 | Resignation letter (if applicable) |
| C-10 | Witness statements |
| C-11 | Weekly claim records / job search log |
NOTE: Send exhibits to the Office of Appeals and to the employer at least 5 business days before the hearing (or as the Notice of Hearing directs).
VI. Conclusion
The Appeal Tribunal should reverse the Determination and find Claimant eligible for benefits effective [__/__/____].
Respectfully submitted,
______________________________
[CLAIMANT NAME or COUNSEL]
Date: [__/__/____]
Part C — Hearing Preparation Checklist
Immediately upon receiving Determination
☐ Calendar 15 calendar days from the mailing date — do not wait.
☐ File appeal today via CACTUS, fax, mail, or in person at an Employment Service Office.
☐ Sign the appeal (DES will not accept unsigned).
☐ Attach a copy of the Determination being appealed.
☐ Continue filing weekly claims through CACTUS.
Within 7 days after filing
☐ Confirm DES received the appeal (CACTUS dashboard or call number on Determination).
☐ Contact a legal aid organization (Community Legal Services, Southern Arizona Legal Aid, DNA-People's Legal Services, ASU Civil Litigation Clinic) early if you want representation.
☐ Begin gathering exhibits; identify witnesses.
Upon receipt of Notice of Hearing
☐ Verify date, time, and the issues listed.
☐ Mail/fax exhibits to the Office of Appeals and to the employer/representative at least 5 business days before hearing.
☐ Request subpoena through Office of Appeals if needed.
☐ Request continuance in writing as early as possible.
☐ Request interpreter or ADA accommodation in advance.
Day before / day of hearing
☐ Quiet, private location; phone charged.
☐ Exhibits organized; witnesses on standby.
☐ Be ready 15 minutes early.
☐ Identify self and confirm telephone for the record.
☐ Confirm hearing is recorded.
☐ Testify chronologically; refer to exhibits by number.
☐ Cross-examine the employer through the ALJ.
☐ Closing statement tying facts to the statute.
After the hearing
☐ Continue filing weekly claims.
☐ Calendar 15 calendar days from mailing of Appeal Tribunal decision for any Petition for Review.
☐ Obtain audio recording from Office of Appeals if planning further appeal.
Part D — Appeal to Upper Authority (Appeals Board)
[DATE: __/__/____]
Via CACTUS / Mail / Fax — address and fax on Appeal Tribunal decision
| To | From |
|---|---|
| DES — Unemployment Insurance Appeals Board | [CLAIMANT NAME] |
| [ADDRESS FROM DECISION] | SSN: XXX-XX-[____] |
| Claim ID: [________________] | |
| [ADDRESS] | |
| [CITY, AZ, ZIP] |
PETITION FOR REVIEW
Pursuant to A.R.S. § 23-672 and A.A.C. R6-3-1504
| Field | Detail |
|---|---|
| Claimant | [FULL LEGAL NAME] |
| SSN | XXX-XX-[____] |
| Appeal Tribunal No. | [________________] |
| Date of Appeal Tribunal decision | [__/__/____] |
| Date decision mailed | [__/__/____] |
| Filing deadline (15 calendar days from mailing) | [__/__/____] |
To the Appeals Board:
Pursuant to A.R.S. § 23-672 and Ariz. Admin. Code R6-3-1504, the undersigned petitions for review of the Appeal Tribunal decision identified above. This Petition is filed within fifteen (15) calendar days of mailing.
Grounds for Review (A.A.C. R6-3-1504)
The Appeal Tribunal decision is contrary to the law, the evidence, or the public welfare, in that:
-
Misapplication of law. The ALJ misapplied [A.R.S. § 23-775(__)] to the facts; the proper standard is [____________________________________________________________].
-
Findings not supported by evidence. Finding No. [__] (that [____]) is contrary to the record. The testimony of [____] (audio recording at [____ minute mark]) and Exhibits C-[__] through C-[__] show that [____].
-
Procedural error. The ALJ [denied admission of Exhibit C-[__] / refused requested subpoena / denied opportunity to cross-examine [____]], in violation of A.A.C. R6-3-1502.
-
Additional evidence. Under A.A.C. R6-3-1504, the Appeals Board may take or order the taking of additional evidence. Claimant requests an opportunity to present [____], which was unavailable or improperly excluded at the Appeal Tribunal.
Requested Relief
☐ Reverse the Appeal Tribunal decision and award benefits effective [__/__/____].
☐ Remand to the Appeal Tribunal for additional evidence on [____].
☐ Vacate any overpayment determined under A.R.S. § 23-787.
A copy of this Petition has been sent to the employer and all other parties of record.
Signature: ______________________________
[CLAIMANT NAME or COUNSEL]
Date: [__/__/____]
Part E — Judicial Review (Arizona Court of Appeals, Division One)
Caption — Application for Appeal
IN THE ARIZONA COURT OF APPEALS, DIVISION ONE
| Party | Role |
|---|---|
| [CLAIMANT NAME], | Appellant |
| v. | |
| ARIZONA DEPARTMENT OF ECONOMIC SECURITY and [EMPLOYER NAME], | Appellees |
No. 1 CA-UB [________________]
APPLICATION FOR APPEAL
(A.R.S. § 41-1993; A.R.S. § 23-672(K))
Appellant [CLAIMANT NAME], pursuant to A.R.S. § 41-1993 and A.R.S. § 23-672(K), hereby applies for appeal of the final decision of the Arizona Department of Economic Security, Unemployment Insurance Appeals Board, and states:
-
Parties. Appellant is the claimant. Appellee DES administered the underlying determination and appeals. Appellee [EMPLOYER] was Appellant's former employer.
-
Decision Below. Appeals Board decision in case No. [________________], mailed [__/__/____], affirming/modifying the Appeal Tribunal decision dated [__/__/____].
-
Timeliness. This Application for Appeal is filed within 30 days of the Appeals Board decision under A.A.C. R6-3-1404.
-
Standard of Review. The Court of Appeals reviews questions of law de novo and findings of fact for whether they are supported by reasonable evidence in the record. Munguia v. DES, 159 Ariz. 157 (App. 1988).
-
Issues for Review.
a. Whether the Appeals Board misapplied A.R.S. § 23-775([__]) to the undisputed facts.
b. Whether the Appeals Board's findings of fact are supported by reasonable evidence in the record as a whole.
c. Whether the appeals process below denied Appellant due process under the U.S. and Arizona Constitutions. -
Relief Requested.
a. Reverse the Appeals Board decision.
b. Order DES to find Appellant eligible from [__/__/____] and pay all back benefits.
c. Vacate any overpayment.
Respectfully submitted,
______________________________
[CLAIMANT NAME / COUNSEL — Bar No. [____]]
Date: [__/__/____]
Filing Checklist
| Item | Status |
|---|---|
| Application for Appeal filed with Appeals Board within 30 days of mailing | ☐ |
| Court of Appeals filing fee paid (or fee waiver request) | ☐ |
| Designation of record from administrative proceedings | ☐ |
| Service on DES and employer | ☐ |
| Continued weekly claims filed throughout | ☐ |
| Court of Appeals self-help guide reviewed (coa1.azcourts.gov) | ☐ |
Further Review
Petition for review to the Arizona Supreme Court under Ariz. R. Civ. App. P. 23 (30 days from Court of Appeals decision).
Sources and References
- DES — Unemployment Insurance Benefits Appeals: https://des.az.gov/services/employment/unemployment-individual/unemployment-insurance-benefits-appeals
- DES — Request for Reconsideration/Appeal (UIB-0126A): https://des.az.gov/sites/default/files/dl/UIB-0126A.pdf
- DES — CACTUS Claimant Portal: https://uibenefits.az.gov/
- Arizona Court of Appeals, Division One — Self-Help Guide: https://coa1.azcourts.gov/Portals/1/89/Self%20Represented%20Guides/Unemployment%20Benefits%20Appeals%20-%20Appellee.pdf
- A.R.S. Title 23: https://www.azleg.gov/arsDetail/?title=23
- Ariz. Admin. Code Title 6, Chapter 3: https://www.azsos.gov/public_services/Title_06/6-03.htm
- Univ. of Arizona Law Library — UI Law Research Guide: https://lawlibrary.arizona.edu/unemployment-insurance-law
- Beaman v. Hayes, 196 Ariz. 559 (App. 2000)
- Munguia v. DES, 159 Ariz. 157 (App. 1988)
- USDOL — State Law Provisions Concerning Appeals: https://oui.doleta.gov/unemploy/pdf/appeals.html
About This Template
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.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: May 2026