| 1 JDF 664 - Combined Notice of Appeal & Opening Brief (ICAO) Last Revised: 4, 2017 Colorado Court of Appeals 2 East 14th Avenue Denver, CO 80203 Appeal from: Industrial Claim Appeals Office (ICAO) Division of Unemployment Insurance Docket/Case Number: Petitioner: , v. Respondents: Industrial Claim Appeals Office, and Petitioner Name: Street Address: City: State: Zip: Phone: E-Mail: !FOR COURT USE ! Court of Appeals Case Number: Combined Notice of Appeal and Opening Brief (I understand that this Notice of Appeal will serve as my Opening Brief and that I will not be filing a separate Opening Brief.) I.Final Order on AppealI am appealing the Industrial Claim Appeals Office final order which was mailed on (date) . American LegalNet, Inc. www.FormsWorkFlow.com | 2 JDF 664 - Combined Notice of Appeal & Opening Brief (ICAO) Last Revised: , 2017 II.Arguments on AppealMake your arguments for how the ICAO erred in its decision and why the Court of Appeals may change the ICAO decision in your favor. Attach additional pages as needed. American LegalNet, Inc. www.FormsWorkFlow.com | 3 JDF 664 - Combined Notice of Appeal & Opening Brief (ICAO) Last Revised: , 2017 III.Lawyer or Party Information1.The petitioner does not have an attorney.2.The lawyer for the ICAO is the Colorado Attorney General1300 Broadway, 6th Floor Denver, Colorado 80203 720-528-60003.Respondent: The Respondent { does}, or { does not} have an attorney. Attorney contact information (or respondent325s if no attorney): Name of attorney (if any): Registration number (if any): Street address: City: State: Zip: Phone number: E-Mail address: !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Space for other Respondents, if any: IV.Attachments1.The ICAO final order, including the 322Certificate of Mailing323 page.Dated: Respectfully submitted, Signature: Print Name: American LegalNet, Inc. www.FormsWorkFlow.com | 4 JDF 664 - Combined Notice of Appeal & Opening Brief (ICAO) Last Revised: 4, 2017 Certificate of Service I certify that on (date) , I { mailed}, or { hand delivered} this Combined Notice of Appeal & Opening Brief to the Court of Appeals and mailed copies to the people listed below: (You must send a copy to each party. If a party has a lawyer, send the copy to the lawyer) Division of Unemployment Insurance 251 East 12th Avenue Denver, CO 80203-2202 Industrial Claim Appeals Office 633 17th St., Suite 00 Denver, CO 80202-3660 Colorado Attorney General 1300 Broadway, 6th Floor Denver, Colorado 80203 Respondent: (For example, the employer if you are the claimant, or the claimant if you are the employer.) Name of Person Served: Street Address: City: State: Zip: Space for other parties served: Signature: Print Name: " American LegalNet, Inc. www.FormsWorkFlow.com