Oji
Oji
\A35218529E0174670010G\
JFS-83000 11/04/2008
Claimant's Name Social Security Number Determination Identification Number
A35218529E0017467001
MARILYN MENDEZ 011-58-9008 217538800-2
Benefit Year Beginning Date Benefit Year Ending Date Extended Benefits App. Date Date Issued
11/26/2006 11/24/2007 12/08/2008 11/30/2009
ODJFS Office
The Ohio Department Of Job and Family Services has ALLOWED the claimant's application for Tier 2
Extended Unemployment Compensation (EUC) benefits. The claimant's entitlement to EUC benefits is
not payable until the claimant exhausts all entitlement to Tier 1 Extended Unemployment Compensation
(EUC) benefits. The claimant's eligibility for EUC benefits will end any time the claimant can again
establish eligibility for regular unemployment benefits. If the claimant has entitlement to other federal
benefits, such as Trade Readjustment Allowances or Disaster Unemployment Assistance, those benefits
may be reduced by payment of EUC benefits. NOTE: Total Benefits Payable amount shown includes any
previously paid Extended Unemployment Compensation (EUC)Tier 2 benefits. Additional Tier 2 benefits
became available effective week ending November 14, 2009. If you previously exhausted your Extended
Unemployment Compensation (EUC) benefits, please call 1-877-644-6562 to restart your claim.
Weekly Benefit Amount is: $317.00
Total Benefits Payable Amount is: $4,438.00
APPEAL RIGHTS: If you do not agree with this determination, you may file an appeal by mail or fax to the
ODJFS office provided. You may also file an appeal online at https://unemployment.ohio.gov. The appeal
should include the determination ID number, name, claimant's social security number, and any additional facts
and/or documentation to support the appeal. TO BE TIMELY, YOUR APPEAL MUST BE
RECEIVED/POSTMARKED NO LATER THAN 12/21/2009 (21 calendar days after the 'Date Issued'). If the 21st
day falls on a Saturday, Sunday, or legal holiday, your deadline has already been extended to include the next
scheduled work day. If you do not file your appeal within the 21-day calendar period, include a statement with
the date you received the determination and your reason for filing late. If your appeal is late due to a physical or
mental condition, provide certified medical evidence that your condition prevented you from filing within the
21-day period. In order for your appeal to be considered timely, it must be received/postmarked no later than 21
calendar days after the ending date of the physical or mental condition. If unemployed, claimants should
continue to file weekly claims for benefits while the determination is under appeal. For additional information, call
the ODJFS automated telephone system at 1-877-644-6562 and select the General Information option or visit
the agency's website at https://unemployment.ohio.gov. Claimants may also review the Worker's Guide to
Unemployment Compensation.
Si usted no puede leer esto, llame por favor a 1-877-644-6562 para una traduccion.
DSN: 017467 THIS SPACE FOR OFFICIAL USE ONLY PSN: 0017467
Page 1 of 1 ID: 000000291658327 NOTICE: JI41O4