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Arizona Department of Economic Security
Your Partner for a Stronger Arizona
Electronic Appeals Submission (EAS)
If the issue you are appealing is Other or Don't know, please explain:
What issue are you appealing?
If you are filing the appeal late, please state the reason.
If No, why didn't you attend the hearing?
If Yes, did you attend the hearing?
If Yes, please enter the Appeal Number:
Did you have a hearing scheduled with a judge?
Document Date (mm/dd/yyyy)
If you do not know what document you are appealing or other, please explain.
What type of document are you appealing?
Phone Type:
Phone:
Zip Code:
State
City:
Address Line 2:
Address Line 1:
Last Name:
First Name:
Denotes Required Data
SSN must be formatted 999-99-9999
Middle Initial:
Would you like to receive the judges decision by email instead of US Postal Service mail?
Why are you appealing?
SSN:
Select State
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DE
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GU
HI
IA
ID
IL
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ME
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OR
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SC
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TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Outside USA
Select Phone Type
Home
Cell
Work
No phone available
Select Document
Determination of Deputy
Determination of Overpayment
Decision of Appeal Tribunal
Appeals Board Decision
Other or Do not know
Yes
No
Yes
No
If Yes, specify language:
Quit
Discharged
Refusal of Work
Able/Available
Overpayment
Certificate of Understanding
Claim Filing Requirements
Vacation/Sick/Severance Pay
Other or Don't know
If there is a hearing, it will be conducted in English. Do you need an Interpreter?
Yes
No
Yes
No
If Yes, please enter email address
Employer Name: