UI Support & Customer Service Texas Workforce Commission PO BOX 149346 AUSTIN TX 78714-9346

UI Support & Customer Service
TEXAS WORKFORCE COMMISSION

PO BOX 149346
AUSTIN TX 78714-9346
DETERMINATION ON PAYMENT OF UNEMPLOYMENT BENEFITS

Date Mailed: September 14, 2020
KENNETH J SCHACKAI
205 E BASIN
VICTORIA TX 77901
Social Security Number: XXX-XX-4245
Employer: GILLMAN XSM LLC
As:
Employer Account No: 12-581819-6
All dates are shown in
month-day-year order.
Decision
Issue: Separation from Work - Presidentially Declared Disaster
Decision: We can pay you benefits, if you meet all other weekly requirements such as being
able, available, and actively searching for work.
Reason for Decision: Our investigation found your employer laid you off from your last work
because of a natural disaster declared by the president.
Law Reference: Section 207.044 and 207.0212 of the Texas Unemployment Compensation Act.
Understanding your Decision
If you receive a decision that says, "we cannot pay you benefits," it means there is a problem
with your claim EVEN IF you have received other decisions for the same period that say, "we can
pay you benefits." If even one decision for the same period says we cannot pay, you will not
receive an unemployment payment for that period.
To resolve issues on decisions you receive:
1. Follow instructions on the notice(s); call the Tele-Center at 800-939-6631 if you have
questions;
2. If the instructions tell you to "Report," call the Tele-Center at once;
3. If you disagree with a decision, file an appeal. Appeal each decision separately by the
appeal deadline. If you fax your appeal, keep a confirmation sheet.
Your employer can appeal TWC's decision to pay benefits. TWC will notify you of any appeal
hearing. If you do not participate, you may lose your benefits and have to repay benefits you
received.
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 by mail, fax, online, or in person at any
Texas Workforce Solutions office, on or before 09-28-20 .
TWC will use the postmark date, or the date we receive the fax or online form, to determine whether you submitted your
appeal on time. If you appeal by fax, you should keep your fax confirmation as proof you sent it. Please include a copy
of this determination notice with your appeals correspondence.
If you receive multiple determination notices, you must appeal each determination separately.
Mail the appeal to: Appeal Tribunal
Texas Workforce Commission
You may appeal by submitting
101 E. 15th Street
TWC's online appeal form. Go to
Austin, TX 78778-0002 Case No.: 1
www.texasworkforce.org/uiappeal Claim ID.: 08-30-20
Or fax to (512) 475-1135 Claim Date: 08-30-20
HEARING IMPAIRED CLIENTS
Please See Reverse For How To File An Appeal. CALL 711 for RELAY TEXAS
BD300E 02/28/2018
How to Request an Appeal
You MUST request payment
Submit your appeal by mail, fax, in person at any Texas Workforce Solutions
every two weeks, unless you
office, or online at www.texasworkforce.org/uiappeal. Mail or fax your signed letter to
return to full-time work. If the
the TWC Appeals Department at the address or fax number on the front of this form.
appeal is in your favor, we can
You must submit your appeal within 14 calendar days of the date we mailed you this
pay you only for the weeks you
letter. The deadline is on the front of this form.
requested payment and met all
other eligibility requirements.
If you mail your appeal, it must be postmarked on or before the deadline.
If you submit your appeal online or by fax, TWC must receive it on or before the deadline. Print and keep the
confirmation page as proof you sent it.
Include in your appeal letter:
Your name, address, Social Security number (SSN).

The date TWC mailed you the decision you want to appeal.
Your request for translators, if needed, and the language you require.
Your request for special services, if needed, such as an interpreter for the hearing-impaired.
IMPORTANT: If you miss the appeal deadline, your appeal letter must explain in detail why you submitted it 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. Legal representation is optional - someone can represent you, but TWC does not provide representation.
You may call witnesses. Your employer may also appeal and participate in your hearing.
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 the 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, see How to Appeal a Decision at www.texasworkforce.org/uiappeal.
Date and Time. We will mail you and the employer a hearing notice packet with the date and time of your hearing. It will
include instructions on submitting additional documents you 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, appeal history, and more.
Read more about How to appeal a decision at www.texasworkforce.org/unemploymentbenefits. Access the Internet for free
at public libraries and Texas Workforce Solutions offices.
BD300F 03/02/2018

UI Support & Customer Service Texas Workforce Commission PO BOX 149346 AUSTIN TX 78714-9346

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UI Support & Customer Service Texas Workforce Commission PO BOX 149346 AUSTIN TX 78714-9346

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UI Support & Customer Service

TEXAS WORKFORCE COMMISSION

DETERMINATION ON PAYMENT OF UNEMPLOYMENT BENEFITS

Determination of Potential Chargeback for the Employer

If You Disagree with this Decision

Your name, address, Social Security number (SSN).

Appeal Tribunal Hearing

To prepare for your hearing, see How to Appeal a Decision at www.texasworkforce.org/uiappeal.

important new information about your case;

For More Information

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