De 1430 form-2026

1. Click ‘Get Form’ to open the de 1430 form in the editor.
2. Begin by selecting the party filing the appeal: Claimant, Employer, or EDD. Fill in your name and contact details including phone number and mailing address.
3. Enter the ALJ Decision Date and Case Number as indicated on your decision letter.
4. Indicate whether you permit the CUIAB to send confidential information via email or text. If yes, provide your email address and cell phone number.
5. Complete the claimant's name and Social Security Number. If applicable, enter the Employer Account Number.
6. If you are not filing on time, check the appropriate box and provide a detailed explanation for the delay.
7. If presenting new evidence, check that box, attach documents, and explain why they were not presented earlier.
8. State your disagreement with the ALJ’s decision in the provided space. Sign and date at the bottom of the form.

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