P.O.

Box 9046, Olympia, WA 98507

Date: Feb 29 2024

54000002-000598-01-00000000

Letter ID: L0054591608

Claimant ID: H832RR
CHASTIN O. HOFFMAN
ATTN: CHASTIN HOFFMAN
6545 NE PROSPECT ST # SUQUAMISH
SUQUAMISH WA 98392-9702

Dear CHASTIN HOFFMAN: Separation from a job-74123998

We made a decision about your claim for unemployment benefits. This decision applies to your
UI claim, Claim ID H832RR-006.

Our decision
We approved your unemployment benefits starting Dec 31 2023. You might have other issues
on your claim that prevent us from paying you. We send you separate letters about each issue
affecting your claim.
You or your employer, POULSBO AMPM, said you were fired.

We looked at the information and found your actions were not misconduct. When we find no
misconduct, you are eligible for benefits.

We decided your actions were not misconduct because:

• Your employer fired you for a reason that we do not consider misconduct.
The laws that apply are RCW 50.20.066, RCW 50.04.294, WAC 192-150-200 and WAC
192-150-205.

Next steps
Keep filing your weekly claims for the weeks you want to get benefits, even if we denied you. If
your situation changes, we may pay you benefits for the weeks you filed.

Know your rights. Read the next section on appeal information if you disagree with our decision.

Appeal information
You can appeal this decision if you disagree with it. You have until Apr 1 2024 to appeal.
Search more than 60,000 Washington jobs on WorkSourceWA.com. Visit WorkSource for free employment workshops and expert
job-hunting advice.
Read the Handbook for Unemployed Workers at esd.wa.gov to find everything you need to know about benefits, including training
for a new career.

L0054591608
DETERMINATION LETTER

Page: 1 of 3
 We sent a copy of this letter to the people or businesses listed below. They can also appeal this
decision by Apr 1 2024. You will be notified if they do.

CHASTIN O HOFFMAN 6545 NE PROSPECT ST # SUQUAMISH SUQUAMISH WA

54000002-000598-02-00000000

98392-9702,
POULSBO AMPM REVIVE ENTERPRISE INC 15244 SILVERDALE WAY NW POULSBO
WA 98370-8239.
How to appeal
eServices is the easiest way to file an appeal:
1. Log in to eServices.
2. Select the Decisions status tab.
3. Look for Letter ID L0054591608.
4. Select File an appeal.

You can also appeal via fax or mail. Fax or postmark by Apr 1 2024.
• You can choose to write a letter requesting an appeal or you can use the appeal request
template, available at: https://esd.wa.gov/unemployment/benefit-denials-and-appeals.
• If you choose to write a letter, you must include:
• Letter ID L0054591608
• Why you disagree with our decision.
• Your Social Security number.
• Your employer’s name, address and phone number.
• Your signature.
• Fax: 800-301-1795
• Mail:

Employment Security Department

Claims Center Appeals
P.O. Box 19018
Olympia, WA 98507-0018
NOTE: You cannot appeal by email or phone.
After we receive an appeal:
We will send the appeal and all information we have about this decision to the Office of
Administrative Hearings (OAH).
OAH will schedule a hearing
OAH will mail a Notice of Hearing by U.S. mail to you and the people or businesses listed above.
The notice will include the hearing date and time.
Learn more about appeals
• Visit https://esd.wa.gov/unemployment/benefit-denials-and-appeals
• Read state law:

Search more than 60,000 Washington jobs on WorkSourceWA.com. Visit WorkSource for free employment workshops and expert
job-hunting advice.
Read the Handbook for Unemployed Workers at esd.wa.gov to find everything you need to know about benefits, including training
for a new career.

L0054591608
DETERMINATION LETTER

Page: 2 of 3
 • RCW 50.32.020: app.leg.wa.gov/rcw/default.aspx?cite=50.32.020
• RCW 50.32.025: app.leg.wa.gov/RCW/default.aspx?cite=50.32.025
• RCW Chapter 50.32: app.leg.wa.gov/RCW/default.aspx?cite=50.32
• WAC Chapter 192-04: apps.leg.wa.gov/wac/default.aspx?cite=192-04
54000002-000598-03-00000000

Search more than 60,000 Washington jobs on WorkSourceWA.com. Visit WorkSource for free employment workshops and expert
job-hunting advice.
Read the Handbook for Unemployed Workers at esd.wa.gov to find everything you need to know about benefits, including training
for a new career.

L0054591608
DETERMINATION LETTER

Page: 3 of 3
Important! This letter is about your benefits. It may include deadlines to respond. For free language
assistance services in Spanish, call 800-318-6022. For all other languages, call 800-410-0758. If you are
deaf, hard of hearing, or speech impaired, call Washington Relay Service by dialing 711.

¡Importante! Esta carta contiene información sobre sus beneficios y puede incluir fechas límite para
responder. Si habla español, llame al 800-318-6022 para recibir servicios gratuitos de ayuda con el idioma.
Los clientes sordos, con problemas de audición o del habla pueden llamar al Servicio de retransmisión de
Washington marcando el 711.

አስፈላጊ! ይህ ደብዳቤ ስለጥቅማጥቅሞችዎ ያሉትን መረጃዎች የያዘ ነው እናም መልስ ለምስጠት የመጨረሻውን ቀን ሊያካትት
ይችላል። አማርኛ የሚናገሩ ከሆነ, ወደ 800-410-0758 ላይ በመደወል ነጻ የቋንቋ ድጋፍ አገልግሎቶችን ለማግኘት 14 ብለው
ይደውሉ። መስማት የተሳናቸው፣ መስማት ወይም መናገር የማይችሉ ደንበኞች 711 ላይ ለዋሽንግተን ሪሌይ
አገልግሎት(Washington Relay Service) መደወል ይችላሉ።

အရေးကြီး အချက်အလက်။ ဤစာတွင် သင်၏အကျိုးခံစားခွင့်များနှင့် ပတ်သက်သော အချက်အလက်များ ပါဝင်ပြီး ပြန်ပို့ရန်

နောက်ဆုံးသတ်မှတ်ရက်များ ပါဝင်နိုင်သည်။ အကယ်၍ သင်သည် မြန်မာစကားပြောပါက 800-410-0758 သို့ဖုန်းခေါ်ပြီး
အခမဲ့ဘာသာစကား အကူအညီဝန်ဆောင်မှုများအတွက် 22 ကိုခေါ်ပါ။ နားမကြားသူများ၊ အကြားအာရုံချို့တဲ့သူ သို့မဟုတ်
စကားပြောစွမ်းရည်ချို့တဲ့သော ဝန်ဆောင်မှုရယူသူများသည် 711 သို့ ခေါ်ဆိုခြင်းဖြင့် Washington Relay Service သို့
ခေါ်ဆိုနိုင်ပါသည်။

Awchea! Ei taropwe a wor non poraus usun eom kewe aninis me pwan meni pachenong ekkena attun kopwe
ponuweto. Ika pwe ka kan kapas kapasen Chuuk, kori 800-410-0758 me pwan daeneni 27 ren aninisin
kapasen fonu ese momo. Aramas kena a kan puung seninger, weires ar rongorong, ika osupwang ne fos
meni repwene kori ewe Washington Relay Service seni daeneni 711.

重要说明！这封信包含有关您的福利的相关信息，并可能包括您需要回复的截止日期。 如果您讲中文，请拨打
800-410-0758然后拨 15 以获得免费的语言帮助服务。失聪、听力障碍或语言障碍的客户可以拨打711联系华
盛顿中继服务。

重要說明！這封信包含有關您的福利的相關信息，並可能包括您需要回复的截止日期。如果您講粵語，請撥打
800-410-0758然後撥 13以獲得免費的語言幫助服務。失聰、聽力障礙或語言障礙的客戶可以撥打711聯繫華
盛頓中繼服務。

Important ! La présente lettre comporte des informations sur vos avantages et peut contenir des délais de
réponse. Si vous êtes francophone, appelez le 800-410-0758 et composez le 23 pour bénéficier gratuitement
de services d'assistance linguistique. Les clients sourds, malentendants ou souffrant de troubles de la parole
peuvent appeler le Washington Relay Service en composant le 711.

Wichtig! Dieses Schreiben enthält Informationen über Ihre Leistungen und kann Fristen für die Beantwortung
enthalten. Wenn Sie Deutsch sprechen, rufen Sie 800-410-0758 an und wählen Sie 33 für kostenlose
Sprachassistenzdienste. Gehörlose, schwerhörige oder sprachbehinderte Kunden können den Washington
Relay Service unter der Nummer 711 anrufen.

Importante! Questa lettera contiene informazioni sui tuoi sussidi e potrebbe includere scadenze entro le quali
rispondere. Se parla italiano, chiami l'800-410-0758 e digiti 32 per l'assistenza linguistica gratuita. Le persone
non udenti, con problemi di udito o con difficoltà nel parlare possono chiamare il Servizio di comunicazione di
Washington digitando 711.

重要！この文書には、お客様のサービスに関する情報が記載されており、回答期限が記載されている場合が
ございます。日本語を話される方は、800-410-0758に電話の上、28をダイヤルすると、無料のランゲージ
アシスタンスサービスを受けることができます。耳の聞こえない、聞こえづらい、あるいは発話が困難なお
客様は、Washington Relay Serviceに電話の上、711をダイヤルしてください。
중요! 이 서신에는 귀하의 혜택에 대한 정보가 포함되어 있으며 회신 기한이 포함될 수 있습니다. 한국어를
사용하면 800-410-0758로 전화하고, 17번으로 전화하면 무료 언어 지원 서비스를 받을 수 있습니다. 청각
장애, 난청 또는 언어 장애가 있는 고객은 711로 전화하여 Washington Relay Service에 전화를 걸 수
있습니다.

ສິ່ງສໍາຄັນ! ຈົດໝາຍສະບັບນີ້ ມີຂໍ້ມູນກ່ຽວກັບເງິນຊ່ວຍເຫຼືອຕ່າງໆຂອງທ່ານ ແລະ

ອາດຈະລວມມີກຳນົດເວລາໃນການຕອບກັບອີກດ້ວຍ. ຖ້າທ່ານເວົ້າພາສາ ພາສາລາວ, ກະລຸນາໂທຫາເບີ 800-410-0758 ແລະ ກົດ
31 ສຳລັບການບໍລິການຊ່ວຍເຫຼືອຫຼ້າດ້ານພາສາ. ບັນດາລູກຄ້າທີ່ຫູໜວກ, ຫູຕຶງ ຫຼື ມີຄວາມບົກຜ່ອງດ້ານການປາກເວົ້າ ອາດຈະໂທຫາ
Washington Relay Service ໂດຍການໂທຫາ 711.

Barbaachisaa! Xalayaan kun odeeffannoo waayee faayidaalee keessanii of keessaa qaba akkasumas deebii
itti kennuudhaaf guyyaa isa xumuraas ni dabalata. Afaan Oromoo dubbattu yoo ta'e, 800-410-0758 irratti
bilbiluudhaan tajaajiloota deeggarsa afaanii bilisaan argachuudhaaf 21 irratti bilbilaa. Maamiltoonni rakkoo
dhageettii qaban, kanneen dhagahuu yookin dubbachuu hin dandeenye 711 irratti bilbliluudhaanTajaajiloota
Rileey Waashingitan(Washington Relay Services) qunnamuu danda'u.

ਮਹੱਤਵਪੂਰਨ! ਇਸ ਚਿੱਠੀ ਵਿੱਚ ਤੁਹਾਡੇ ਲਾਭਾਂ ਬਾਰੇ ਜਾਣਕਾਰੀ ਸ਼ਾਮਲ ਹੈ ਅਤੇ ਇਸ ਦੇ ਵਿੱਚ ਜਵਾਬ ਦੇਣ ਦੀ ਅੰਤਮ ਤਾਰੀਖ ਸ਼ਾਮਲ ਹੋ ਸਕਦੀ
ਹੈ। ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ 800-410-0758 'ਤੇ ਕਾਲ ਕਰੋ ਅਤੇ ਮੁਫਤ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂ ਲਈ 25 ਡਾਇਲ ਕਰੋ। ਜੋ ਗਾਹਕ ਬੋਲ਼ੇ
ਹਨ, ਸੁਣਨ ਵਿੱਚ ਮੁਸ਼ਕਲ ਆਉਂਦੀ ਹੈ, ਜਾਂ ਬੋਲਣ ਵਿੱਚ ਅਯੋਗ ਹਨ ਉਹ 711 ਡਾਇਲ ਕਰਕੇ Washington Relay Service ਨੂੰ ਕਾਲ ਕਰ
ਸਕਦੇ ਹਨ।

Важная информация! В этом письме содержится информация о Ваших выплатах и срок для ответа на
него может быть ограничен. Если Вы говорите на русском языке, позвоните на номер 800-410-0758 и
наберите 11 для получения лингвистических услуг. Глухие, слабослышащие и немые клиенты могут
обратиться в Washington Relay Service (Службу коммутируемых сообщений штата Вашингтон) по
телефону 711.

Taua! O lenei tusi e iai faamatalaga e uiga i au penefiti ma e ono iai ma aso faagata e tatau ona tali mai ai.
Afai e te tautala i le Gagana Samoa, vili le 800-410-0758 ma vili le 30 mo auaunaga fua mo le gagana.
O tagata e tutuli, faigata na faalogo, pe faaletonu le tautala e vili le Washington Relay Service i le 711.

Muhiimada! Waraaqadaan waxaa ku jiro akhbaaraad kusaabsan faaidooyinkaga iyo sidoo kale waqtiyada
kama dambeysta ee laga rabo in ad kaga soo jawabto.Hadii aad ku hadasho Somaali, Wac 800-410-0758
iyo garaac 12 si aad hesho adeegyada caawinaada luugaqadaha bilaashka ah. Macaamiisha dhagoolada ah,
ay ku adagyahay maqalka, ama ka cuuryaamay xaga hadalka waxuu wici karaa Washington Relay Service
asagoo garaacayo 711.

ኣገዳሲ! እዚ ደብዳቤ ሓበሬታ ብዛዕባ ረብሓታትኩም ከምኡ'ውን ንክትምልሱ ዘለኩም ግዜ ኣጠቓሊሉ ክህሉ ይኽእል። እንድሕር
ትዛረቡ ኮይንኩም ትግርኛ፡ ደውሉ ናብ 800-410-0758 ከምኡ'ውን ጽቐጡ 19 ንነጻ ሓገዝ ኣገልግሎታት ቋንቋ። ጸማማት፡
ዘጻንዖም ወይ ክዛረቡ ዘይክእሉ ዓማዊል ክድውሉ ይኽእሉ ኢዮም ናብ Washington Relay Service ብድዋል ናብ 711።

Mahalaga! Ang sulat na ito ay naglalaman ng impormasyon tungkol sa iyong mga benepisyo at maaaring
kasama dito ang mga deadline sa pagtugon. Kung nagsasalita ka ng Tagalog, tumawag sa 800-410-0758 at
i-dial ang 34 para sa libreng mga serbisyo ng tulong sa wika. Maaaring tumawag ang mga kostumer na bingi,
nahihirapang makarinig, o may kapansanan sa pagsasalita sa Washington Relay Service sa pamamagitan
ng pag-dial sa 711.

Важлива інформація! У цьому листі міститься інформація про Ваші виплати і термін для відповіді на
нього може бути обмежений. Якщо ви говорите українською мовою, зателефонуйте на номер
800-410-0758 і наберіть 26 для отримання лінгвістичних послуг. Глухі, слабочуючі та німі клієнти
можуть звернутися у Washington Relay Service (Службу комутованих повідомлень штату Вашингтон)
за телефоном 711.
Quan trọng! Bức thư này có chứa thông tin về phúc lợi của quý vị và có thể bao gồm thời hạn phản hồi.
Nếu quý vị nói Tiếng Việt, xin vui lòng gọi số 800-410-0758 số máy lẻ 10 cho dịch vụ hỗ trợ ngôn ngữ miễn
phí. Những khách hàng bị điếc, khó nghe, hoặc khiếm thính có thể gọi đến Washington Relay Service bằng
cách quay số 711.