Appeal Request Form {DOL-423}

DOL-423 - APPEAL REQUEST FORM. This form is issued by the Georgia Department of Labor (GDOL) and used by claimants, employers, or representatives to formally appeal an unemployment insurance determination or decision. The form collects identifying details for the claimant, employer, and any third-party representatives, and specifies which type of ruling is being appealed—such as a Claims Examiner Determination, Benefits Determination, Appeals Tribunal Decision, Board of Review Decision, or Overpayment Determination. Applicants must include the date of the decision being appealed, reasons for disagreement, and whether a prior hearing occurred. The form also provides sections for language or disability accommodation requests and emphasizes the requirement to continue weekly claims and job searches during the appeal process. It must be signed and dated by the appealing party before submission to GDOL. www.FormsWorkflow.com