Letter Of Appeal Examples. Appeal letter format your contact information your name your address your city, state zip code your phone number your email address date employer contact information name title company address city, state zip code salutation dear mr./ms. Appeal letter examples (pdf & ms word) an appeal letter is used to challenge an authorizing body’s decision or action, such as suspending or dismissing you from work.

Sample letter of appeal [date] [plan/payer name] [payer street address] [payer city, state zip code] re: Change in your combined household annual income. The example of a letter for an unemployment overpayment appeal can be seen below:








