Request to Appeal a Denied Claim Participant's request, required in writing, must include this information: • Name of employer • Date of service • A copy of the claim or request • A copy of the denial letter and Wisconsin Department of Employee Trust Funds' Five-Step ...
Microsoft Word (.docx) This Document Has Been Certified by a Professional 100% customizable This is a digital download (30.77 kB) Language: English You will receive a link to download the file as soon as your payment goes through. We recommend downloading this file onto your computer....