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Texas Workforce Commission

Notice of Telephone Hearing
Date Mailed: SEPTEMBER 15, 2009

Claimant: SSN: Employer: PI Account: 99

SARA E BLACK
PO BOX 49175
AUSTIN, TX 78765-9175

Hearing Date
, SEPTEMBER *R, 2009

Hearing Start Time:

Call 1-800- 1:45 PM
between 1:15 PM. and 1:45 PM for your Central Daylight Time
hearing.
Hearing Officer:

WHAT YOU MUST DO:

- Send documents before the hearing. You may have documents that are important to your
case. Review the contents of this packet carefully. If any documents are missing,
immediately fax or mail copies of those documents to the hearing officer and the other party.
- Call in for your hearing. This hearing will be held by telephone conference call. On the
hearing date, call (800)ti&&8$$M&within the 30 minutes before the hearing start time.
Give the operator the phone number where you can be reached for the hearing. If you call
from a pay phone, be sure it can receive incoming calls.
The hearing may be your only chance to tell what happened, present your documents, and ask
questions of the witnesses. If you do not call (800) JJiOSfff^ within the 30 minutes before the
hearing start time, you may not be allowed to participate in the hearing. You will not have another
opportunity to offer testimony unless you can establish good cause for why you did not call in as
instructed. Employers who are not parties of interest (indicated above as NPI) do not have the right
to request a new hearing, nor to appeal.

For more information about the appeals process, including hearing preparation tools and tips, visit
http://www.texasworkforce.org.

Appeal No:^H (P Hearing: 1 ^ Hearing Officer

Appeal filed by: Claimant Texas Workforce Commission
Appeal Date:<
Initial Claim Date:
Determination Date(s): Hearing Officer (512
Fax No. (512)

Equal Opportunity Program