< Back to Pennsylvania Unemployment

Kara Yoshida

PA UC denied my claim after ex-employer falsely claimed I was on paid PTO instead of medical leave - need advice!

I'm beyond frustrated with this whole situation. I had to have surgery back in February and requested time off through proper channels at my workplace. My supervisor denied my leave request even though I provided all the medical documentation. Since they wouldn't approve the time I needed for recovery, I was forced to resign from my position. Now I'm dealing with PA unemployment and my former employer has completely twisted the story! They told UC that I was actually receiving PTO during my absence, which is a COMPLETE LIE. I never got a single day of paid time off. Now my claim is being held up because of this false information. Has anyone dealt with an employer lying to unemployment before? What can I do to prove they're making this up? I have my resignation letter and medical records, but will that be enough? I'm worried about paying bills while this gets sorted out.

Philip Cowan

•

This EXACT thing happened to me in 2023!!! It's like these companies have a playbook for denying valid claims. They know exactly what to say to UC to get your benefits denied. Did you get anything in writing when they denied your leave request? You'll need that documentation for your appeal.

0 coins

Kara Yoshida

•

Thanks for responding! Yes I have emails where they denied my leave and I explained I needed the surgery. Also have text messages with my supervisor where she told me 'just use your PTO' but I had already used all my PTO days earlier in the year for a family emergency. I just got the determination letter yesterday saying I'm disqualified because I 'voluntarily quit while receiving compensation.' It's infuriating!

0 coins

Caesar Grant

•

u need to appeal this right away you only have 15 days from the determination letter date. make sure u check the little appeal box and explain exactly what happened. uc usually sides with employers but medical stuff is different

0 coins

Kara Yoshida

•

I'm definitely going to appeal! The determination letter came yesterday so I still have time. Should I upload all my documentation with the appeal or wait until they schedule a hearing?

0 coins

Lena Schultz

•

You're dealing with what's called a "facts in dispute" case. This is very common with UC claims. Here's what you need to do: 1. File your appeal within the 15-day window (absolutely critical) 2. Gather ALL documentation: denial of leave request, medical records showing necessity of surgery, resignation letter, any communications about PTO 3. Write a clear statement explaining that you had no choice but to resign due to denial of necessary medical accommodation 4. Request a copy of your employer's statement to UC for review In cases like this, the hearing examiner will look at whose version of events is better supported by evidence. PA law recognizes medically necessary resignations as potentially eligible for benefits under certain circumstances. This isn't considered a voluntary quit if you had no reasonable alternative.

0 coins

Kara Yoshida

•

Thank you so much for this detailed information! I'll start putting together all my documentation right away. Do you know how long the appeal process usually takes? Will I get a chance to address their false claims about PTO directly during the hearing?

0 coins

Lena Schultz

•

Yes, during the hearing (which is often conducted by phone), you'll have the opportunity to present your evidence and directly address their claims. The referee will allow both sides to make statements and ask questions. The timeline varies, but appeals are currently taking about 6-8 weeks to schedule in PA. You won't receive benefits during this time unless you win the appeal, at which point you'll get back payments for eligible weeks. Make sure to continue filing your weekly claims during the appeal process! This is extremely important - if you win your appeal but haven't been filing weekly claims, you won't receive those back payments.

0 coins

Gemma Andrews

•

not to hijack the thread but how do u even file weekly claims when ur account says disqualified? Mine won't even let me certify anymore

0 coins

Pedro Sawyer

•

I went through something similar last year when my employer claimed I quit for a different reason than I actually did. After weeks of trying to call the UC service center and getting busy signals, I used Claimyr (claimyr.com) to connect with a PA UC representative. They have a service that basically waits on hold for you and calls when an agent is available. Saved me hours of frustration and I was able to explain my situation directly to someone who could help. They have a video that shows how it works: https://youtu.be/CEPETxZdo9E?si=WL1ZzVZWG3KiHrg2 For your situation specifically, I'd recommend getting through to an agent ASAP to request a copy of exactly what your employer told them about the PTO. That way you can address those specific claims in your appeal hearing with counter-evidence.

0 coins

Mae Bennett

•

I used Claimyr too and it worked great but it did take like 2 hours before they got me through even with their service. Better than spending all day hitting redial though lol. The UC phone lines are a complete disaster in 2025 still!!

0 coins

ur gonna need to fax all ur medical proof and evrything to the service center too. My sister works at uc and she says they need everything in writing before the hearing or they just go with whatever the employer says. also keep trying to call them cuz sometimes they can just fix it right away if u get the right person

0 coins

Kara Yoshida

•

I didn't even think about faxing everything! Do you know what fax number I should use? And should I put my claim number on every page? Sorry for all the questions - this whole process is overwhelming.

0 coins

Caesar Grant

•

make sure you write down exactly what happened with dates and everything for the hearing. i messed up my dates when the referee asked questions and it made me look like i was lying even tho i wasn't. they're super picky about details. i lost my appeal bcuz of it

0 coins

Kara Yoshida

•

That's really good advice. I'm going to make a timeline with all the important dates - when I requested the leave, when they denied it, when my surgery was scheduled, when I resigned, etc. I don't want to get flustered during the hearing and mix up anything important.

0 coins

Lena Schultz

•

One more important point: PA unemployment law recognizes something called "necessitous and compelling" reasons for quitting that still allow you to qualify for benefits. Medical necessity is one of those reasons, BUT you typically need to show you tried to preserve your employment first (like requesting leave, accommodations, etc.) before resigning. Your case sounds strong because: 1. You had a documented medical need (the surgery) 2. You attempted to preserve employment by requesting leave 3. The employer denied the medically necessary leave 4. You had no reasonable alternative but to resign Make sure your appeal emphasizes these points specifically. The PTO misrepresentation is definitely concerning, but the core of your case is that you had a necessitous and compelling reason to leave employment.

0 coins

Kara Yoshida

•

You've been so helpful, thank you! I definitely tried to keep my job - I even suggested working remotely during recovery but they refused that too. I'll focus on showing that I exhausted all options before resigning. Do you think I should get a statement from my doctor too explaining why the surgery couldn't be postponed?

0 coins

Lena Schultz

•

Yes! A doctor's statement would be extremely valuable evidence. Ideally, it should confirm: 1. The medical necessity of the surgery 2. Why it couldn't be postponed 3. The required recovery time 4. Any work restrictions during recovery This documentation directly supports your claim that you had a necessitous and compelling reason to leave employment. Have your doctor address it "To Whom It May Concern" and make it as specific as possible about your particular situation. General notes are less helpful than statements that directly address the circumstances of your unemployment claim.

0 coins

Philip Cowan

•

OP listen to this person! Medical documentation is THE key to winning these appeals. My case dragged on for months until I finally got my surgeon to write a detailed letter explaining everything. After that, they reversed the decision in like 2 weeks. The system is designed to wear you down so you'll give up. DON'T GIVE UP!

0 coins

Melina Haruko

•

wait i'm confused abt something... if you had a surgery and your employer denied time off, couldn't you have filed for FMLA instead of quitting? doesn't that protect your job? not criticizing just wondering if that was an option

0 coins

Kara Yoshida

•

That's actually a good question. I wasn't eligible for FMLA because I'd only been at the company for 9 months, and you need to be employed for 12 months to qualify. Otherwise I definitely would have gone that route!

0 coins

Lena Schultz

•

This is an important distinction for your case. Make sure to mention your FMLA ineligibility in your appeal. It further strengthens your argument that you had no alternative but to resign, as you lacked access to federally protected medical leave.

0 coins

Pennsylvania Unemployment AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
20,087 users helped today