State of Illinois
Board of Review
Review File Request (BOR)
Board of Review
33 South State Street
9th Floor
Chicago, Illinois 60603-2802
www.ides.illinois.gov
Chicago: 1-800-821-3550
Fax: 1-312-793-2373
APL114F Rev. (09/2011)
Dated:
Claimant ID/ SSN.:
BOR Docket No.: (IF ISSUED)
In accordance with 56 Ill. Adm. Code 2720.320, I,
(Name)
(Check One) ( Claimant Employer), in the above referenced BOR Docket Number, hereby request to review my
Board of Review File in the above referenced BOR Docket Number in connection with addressing the appeal in this matter. I
understand that upon request and reasonable notice, either written or oral, my Board of Review File may be inspected during
normal business hours at Office of the Board of Review at 33 South State Street, Chicago, Illinois and that a copy of my Board
of Review File may be obtained at my own expense.
(Signature) (Claimant / Employer)
