You may find the answer to your question in the list below. Can't find what you're looking for? Please visit the Help Center.
What is the adjudication process?
When you file a claim, we first determine if you are monetarily eligible. Once you have established a valid claim we will then review the claim to determine if you, or a former employer, have provided any information that could keep you from receiving payments.
If an issue is raised (see list, next question), an adjudicator will review any information that you have already provided, and if additional information is needed, you will be contacted. An adjudicator may contact you by telephone, e-mail or U.S. mail. During this time, you will not receive payments while we review your claim. Once the review is complete, one or more determinations will be mailed to you to tell you if you will actually receive your benefits. This determination is normally issued about 6 weeks from the date you filed your claim. You must be eligible on all issues in order to receive benefits. If the issue(s) is resolved in your favor you can only be paid for weeks of unemployment that you have claimed by making bi-weekly Internet reports. Therefore, you should continue claiming weeks, if you are still unemployed, while you await the final determination notice.
What issues are adjudicated?
An issue is a condition or circumstance that could result in the denial of benefits as required by the eligibility and disqualification provisions of the Reemployment Assistance Law. Below is a general description of the issues which can affect your claim:
- You were discharged (fired), you quit, or you are on a suspension or leave of absence from your last employer or other recent employers.
- You are a school employee or worked providing services for an educational institution while in the employ of a private employer holding a contract with a public or non-profit educational institution and you are not working because you are between terms or on a vacation or holiday.
- You are unable or unavailable to work or to accept work or you are not looking for work or you have failed to report five contacts with prospective employers for work during a claim week.
- You are currently attending school or training.
- You are currently self-employed.
- You are receiving payments of some kind from a recent employer.
- You refused a suitable job offer or you refused a referral from the One-Stop Career Center to a suitable job.
- You failed to participate in Reemployment Services scheduled at the One-Stop Career Center.
- You failed to complete the initial skills review on the Internet.
- You failed to complete the work registration at www.employflorida.com.
Why does the adjudicator contact me to obtain information concerning my separation from my last or next-to-last employer?
The reason for separation from your last employer usually determines whether or not you are eligible to receive benefits. If you have not earned 17 times your weekly benefit amount with the last employer, the reason for separation from your next-to-last employer may also affect your eligibility for benefits. The adjudicator is required to investigate your separation(s) by finding out why you left the job(s). The adjudicator must determine if you were separated from the employer(s) under conditions that might disqualify you from receiving unemployment compensation.
When the investigation is complete, the adjudicator will issue a written determination(s) which is mailed to you and the employer(s). If there are multiple determinations, all must be favorable in order to receive benefits. For example, if you worked with three different employers and two determinations are favorable and one determination is not, the entire claim is denied and payments cannot be made until that disqualification has been satisfied.
Note: You will be contacted only if information is needed in addition to the information you provided when you filed your claim. Please note the adjudication process can take two to six weeks from the time an issue is raised until a determination is made.
If I disagree with the adjudicator’s determination, how do I file an appeal?
You may request an appeal whenever a determination is not favorable to you. If the determination does not result in your benefits being denied, you cannot file an appeal. An appeal must be filed within 20 calendar days after the mailing date shown on the unfavorable Notice of Determination. Instructions for filing an appeal are included in section 4 under Appeal Rights on the Notice of Determination. The instructions are also located in the Florida Reemployment Assistance Claim Book and on the Appeals page. You must complete the form and submit the appeal using the Internet or you may request an appeal in writing.
If you file an appeal using the Internet site, follow the prompts and submit the completed form. The confirmation number you receive at the end of the process will be your proof of filing. If you wish to request an appeal in writing, you must mail or fax your request to the address or fax number below. Be sure and include your name and the last 4 digits of your Social Security Number and a brief statement about why you believe the determination is incorrect. Mail written appeals to:
Office of Appeals
MSC 347, Caldwell Building
107 East Madison Street
Tallahassee, Fl 32399-4143
At this time the department does not accept appeals filed by telephone or e-mail. Once the appeal is filed, you must continue to claim your weeks of reemployment assistance as scheduled and continue to provide your job contacts on your certifications.