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continuance
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_______________________

Date



Board of Review

112 California Avenue

Charleston, West Virginia 25305



Re: Case No: _________________

Claimant: ___________________________

Employer: ___________________________



I am the claimant______employer_____





Request for Continuance



The above referenced case is scheduled for hearing on ____________________

date

at ________ before ______________________________ at ______________________

time Administrative Law Judge city



___________________________________.



Please reschedule this hearing. I am unable to attend because: _____________________



_______________________________________________________________________.



Note: You must make every effort to attend the hearing. Only if you have a very

important commitment that absolutely cannot be changed should you request a

postponement. Continuances will only be granted for good cause shown. Also,

continuances will not be granted on the day of the hearing.

This request must reach the Board of Review at least 24 hours prior to the hearing date to

be considered. We must have this time to be able to contact all parties.



Thank you,





_____________________________

Signature


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