Sample of Letter Sent To Overpayment Recipient

UI Support Services
Texas Workforce Commission

P. O. Box 2165
Austin, Texas 78768-2165
DETERMINATION ON PAYMENT OF UNEMPLOYMENT BENEFITS

Date Mailed: June 6, 2020
John Doe
123 Any Street
Any City, TX 12345-6789
All dates are shown in month-day-year order.
Social Security Number: 123-45-6789
Employer: Any Employer
Employer Account No: 12-345678-9
Decision
Issue: Overpayment – Earnings Adjustment
Decision: You have been overpaid unemployment benefits. We cannot pay you benefits until you repay this
overpayment.
Reason for Decision: We received new information and adjusted the amount of earnings on your payment
requests.
Amount of the overpayment established by this decision: $100.00
Weeks Overpaid (Week Ending Date): See continuation page
Action required of you: Repay the overpayment. If we are paying you benefits, each time you request
payment, your benefits will go toward the overpayment until the balance is paid. If you have returned to work,
are no longer requesting payment or are not eligible for benefits, please make payment in full by check or
money order payable to the Texas Workforce Commission and mail it to:
TWC REVENUE & TRUST MANAGEMENT
PO BOX 149352
AUSTIN TX 78714-9352
Please include your social security number on your payment or when writing about your claim.
Law Reference: Section 212.006 of the Texas Unemployment Compensation Act.
Determination of Potential Chargeback for the Employer
If You Disagree With This Decision

If you disagree with this decision, you may appeal. Submit your appeal online, by fax, or by mailing
on or before 07-20-20. TWC will use the postmark date or the date we receive the fax or online form to
determine whether your appeal is timely. If you appeal by fax, you should keep your fax confirmation as
proof of transmission. Please include a copy of this notice with Appeals correspondence. You must appeal
each determination separately.
Mail the appeal to:
Appeal Tribunal
Texas Workforce Commission
101 E. 15th Street
Austin, TX 78778-0002
Or FAX to (512) 475-1135
You may appeal by submitting
TWC’s online appeal for. Go to
www.texasworkforce.org Case No: 1
Claim ID: 05-03-20
Claim Date: 05-03-20
Hearing impaired clients call 711 for Relay Texas
Please See Reverse For How To File An Appeal.
BD300E
How to Request an Appeal
Submit your appeal online, by fax, or by mailing a signed letter to the TWC Appeals Department at the address or
fax number on the front of this form, or to any Texas Workforce Solutions office
within 14 calendar days of the date we mailed you this letter. The deadline is on Continue requesting payment
the front of this form. every two weeks, unless you
 If you mail your appeal, it must be postmarked on or before the deadline. return to full-time work. If the
 If you submit online or fax your appeal, TWC must receive it on or before appeal is in your favor, we can
the deadline. Print and keep the confirmation page as proof of pay you only for the weeks
transmission. you requested payment and
met all other eligibility
Include in your appeal letter:
requirements.
 Your name, address, Social Security number (SSN);
 date TWC mailed you the decision you want to appeal;
 request for translators for witnesses, if needed, and what language;
 request special services for witnesses, such as an interpreter for the hearing-impaired.
IMPORTANT: If you miss the deadline on this form, explain in detail on the appeal why you appealed late. If TWC
decides not to hear the case because you appealed late, we will mail you a decision that you may appeal.
Appeal Tribunal Hearing
The first appeal level is a telephone hearing with the Appeal Tribunal (AT). The AT hearing consists of oral
statements given under oath. Your employer may also appeal and participate in your hearing. You may call
witnesses. Legal representation is optional. You may have someone represent you, but TWC does not provide
representation.
Keep your mailing address current. We will mail you the AT decision. It is important that you participate in the AT
hearing because the hearing officer makes the decision solely on testimony given at the hearing. If you cannot
participate at the scheduled time, call the hearing officer at the number listed on the hearing notice.
To prepare for your hearing, view TWC’s appeal tutorial at www.twc.state.tx.us/ui/appl/employers_intro.html.
Date and Time. We will mail you and the employer a hearing notice packet with the date and time of your hearing
with instructions on submitting additional documents you may want to present at the hearing. You must mail or fax
copies of the additional documents to the employer and TWC immediately after receiving the hearing packet.
Additional Appeals
If you disagree with the AT decision, you may submit a Commission Appeal (CA). The Commission will rule on your
case after reviewing the AT decision and listening to the recorded hearing. If you disagree with the CA decision, you
may request a Motion for Rehearing (MR) within 14 calendar days of the mailing date of the CA decision. TWC will
grant the MR if you can show all of these:
 important new information about your case;
 why the information could change the decision; and
 a compelling reason why you did not present the information earlier.
You may also appeal the CA decision to a civil court between 15 and 28 days after the date we mailed you the CA
decision. You must complete an AT hearing and CA appeal before appealing to a civil court.
For More Information

Go to ui.texasworkforce.org and select Appeal Status to view your appeal status, actions taken on your appeals, a history of
your appeals, and more.
Read more about How to appeal a decision on the Unemployment Benefits page at
www.texasworkforce.org/unemploymentbenefits. Internet access is available at public libraries and Texas Workforce
Solutions offices.
BD300F

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UI Support Services

Texas Workforce Commission

DETERMINATION ON PAYMENT OF UNEMPLOYMENT BENEFITS

If You Disagree With This Decision

Appeal Tribunal Hearing

To prepare for your hearing, view TWC’s appeal tutorial at www.twc.state.tx.us/ui/appl/employers_intro.html.

For More Information

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