350 Petitions for Review and Labor and Industrial Relations Commission Appeals

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RULE 350 PETITIONS FOR REVIEW AND LABOR AND INDUSTRIAL RELATIONS COMMISSION APPEALS

(a) If there are disputes as to the correctness of the record on appeal, the procedure in Rule 81.15(b) shall be followed except that the agency shall settle the dispute.

(b) To the extent not covered by this rule or Rule 100.02, the procedure in this court on petitions for review and labor and industrial relations commission appeals will follow so far as is practical the Supreme Court Rules of appellate procedure as now or hereafter provided.

(c) In an unemployment compensation or worker’s compensation appeal, the appellant shall complete and file with the Notice of Appeal a Labor and Industrial Relations Commission Case Information Form using the form attached to and made a part of this rule. The appellant shall file the Notice of Appeal and the Case Information Form with the Commission and serve a copy on each respondent. The Commission shall forward the Notice of Appeal, the Case Information Form and any attachments to this court.

IN THE MISSOURI COURT OF APPEALS EASTERN DISTRICT

APPEAL NO. ______

LABOR and INDUSTRIAL RELATIONS COMMISSION CASE INFORMATION FORM

(This form must be filed with Form 8-C with the Labor and Industrial Relations Commission)

List every party involved in the case, indicate the position of the party before the Commission (e.g. claimant, employer, insurer) and in the Court of Appeals (e.g. appellant or respondent) and the name of the attorney of record, if any, for each party. Attach additional sheets to identify all parties and attorneys if necessary.

Party Attorney

_____________________________ _____________________________ Name

_____________________________ _____________________________

Address

_____________________________ _____________________________ City, State, Zip Code

_____________________________

Phone Number

v. _____________________________

Law Firm or Office

_____________________________ ________________________________ Name

_____________________________ ________________________________ Address

_____________________________ ________________________________

City, State, Zip Code

________________________________

Phone Number

________________________________

City, State, Zip Code

A BRIEF STATEMENT OR DESCRIPTION OF THE CASE (Attach one additional page, if necessary.) Attach copy of decision or award appealed.

ISSUES EXPECTED TO BE RAISED ON APPEAL (Attach one additional page, if necessary. Appellant is not bound by this list.)

A COPY OF THIS FORM AND ATTACHMENTS MUST BE SERVED ON THE RESPONDENT.

(Adopted eff. Jan. 1, 1995, Amended eff. Oct. 10, 1995, March 1, 2017.)

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