Fillable FORM NO. 8-B: UNEMPLOYMENT COMPENSATION NOTICE OF APPEAL (Missouri)

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FORM NO. 8-B: UNEMPLOYMENT COMPENSATION NOTICE OF APPEAL (Missouri)

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Form 8-B (04-05) AI
FORM NO. 8-B
UNEMPLOYMENT COMPENSATION
NOTICE OF APPEAL
TO MISSOURI COURT OF APPEALS
DISTRICT
BEFORE THE LABOR AND INDUSTRIAL RELATIONS COMMISSION
STATE OF MISSOURI
)
)
Appellant, ) Social Security No.:
)
vs. ) Employment Security Appeal No.:
)
) Appellate Court No.:
)
Respondent. )
Notice is hereby given that appeals to the Missouri Court of Appeals,
District.
Date notice of Appeal filed
(to be filled in by Secretary of Commission)
Signature of Attorney or Appellant
(The appellant(s) must file the original notice of appeal and one copy for the Appellate Court with, and pay the docket fee
required by court rule to, the secretary of the commission within the time specified by law. Claimants for unemployment
benefits do not have to pay the docket fee. §288.380.5 RSMo. At the same time appellant must serve a copy of the notice
of appeal on attorneys of record of all parties other than appellant(s), and on all parties not represented by an attorney.
The Division of Employment Security is by statute a party to all unemployment benefit appeals. §288.210 RSMo. Proof of
service shall be made on the original and copy to be filed with the commission.)
CASE INFORMATION
TYPE NAME AND BAR ENROLLMENT NUMBER
OF APPELLANT
TYPE NAME AND BAR ENROLLMENT NUMBER
OF RESPONDENT’S ATTORNEY
Street
Street
Cit
y
City
State Zip Code
State
Zip Code
Telephone
Telephone
TYPE NAME OF EMPLOYEE TYPE NAME OF EMPLOYER
Employee Employer
Street
Street
Cit
y
City
State Zip Code
State
Zip Code
Form 8-B
Instruction Sheet
DO NOT RETURN THESE
INSTRUCTIONS
County to district converter link.
Enter name of party appealing Labor Commission decision.
Enter the claimant's social security number.
Enter the appeal number.
Leave this line blank.
Enter name of party appealing Labor Commission decision.
County to district converter link.
The 5 lines in this block are for the name and address of the appealing party's atty.
These 4 lines are for the name and address of the employee.
These 4 lines are for the name and address of the employer.
interested opposing party (either employer or claimant), if applicable.
Ends with "Type__-__"
Leave this line blank.
Sign here.
If there is no attorney representing the appellant, leave this block blank.
The 5 lines in this block are for the name and address of the responding party's atty.
If there is no attorney representing the respondent, leave this block blank.
Form 8-B-2 (04-05) AI
Date of Commission Decision: County of Claimant’s Residence:
(
Attach cop
y
of Commission Decision
)
DIRECTIONS TO COMMISSION
A copy of the notice of appeal and the docket fee shall be mailed forthwith to the clerk of the appellate court. The record
on appeal shall be prepared and certified within such time as to enable timely filing by the appellant.
PROOF OF SERVICE
I have this day served a copy of this notice of appeal on each of the following persons at the address stated by
(ordinary mail, certified mail, personal service):
Si
g
nature of Attorne
y
or Appellant
Dated: , 20
Enter the date of the Labor Commission decision (same as date mailed by Comm'n).
Enter the claimant's county of residence.
Indicate how you served a copy on the respondent(s).
It is appellant's job to provide notice and copies of the appeal documents to the respondent(s). Enter the name and address of each respondent and/or attorney to whom 
you provided a copy of the form 8-B.
Example:
Enter the date of service
If not in Missouri, also list state of residence.
Sign here to certify you served the copies as described above.
John Doe Company
111 Main St.
Center, MO 22222
Division of Employment Security
P.O. Box 59
Jefferson City, MO 65104
Ç
Ç
Sample, Do NOT use this address.
Use this address for the Division.
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FORM NO. 8-B: UNEMPLOYMENT COMPENSATION NOTICE OF APPEAL (Missouri)

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Completed 5 August 2020

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