Social Security Tribunal of Canada

Application to the Appeal Division: Income Security

Large-print version of official source
Application to the Appeal Division – Income Security (PDF 346.65 KB)

 

Fill out this form if you want to apply for leave (permission) to appeal a Social Security Tribunal (SST) General Division decision. The Appeal Division must receive your application within 90 days from the date you received the General Division decision.

A community organization might be able to help you with your appeal. Find organizations that can help on our website at https://www.sst-tss.gc.ca/en/your-appeal/help-other-people-or-organizations

1. The decision you want to appeal

Please provide at least one of the following:

2. When you received your decision

The date you received your decision could affect the date when your application is due.

or

3. Applicant information

The applicant is (please select only one):

Optional: How would you like us to refer to you? We’re asking because we want to communicate with you in a respectful way.

Quels sont vos pronoms de genre?

4. Reason(s) for getting permission to appeal (your arguments)

An appeal to the Appeal Division is different from an appeal to the General Division. First, you’ll need to get permission to appeal from the Appeal Division. To get permission to appeal, you must either:

  • raise an arguable case that the General Division made a mistake in deciding the appeal, or
  • provide evidence that the General Division didn’t have.

Explain why you should get permission to appeal the General Division decision:

5. Documents to support your appeal

We’ll add all the documents from your General Division appeal file to your Appeal Division appeal file. If you get permission to appeal, you’ll have time to submit additional evidence. If you don’t expect to submit additional documents later, please check the box below.

If there’s going to be a delay before you can submit your additional documents, please check the box below.

6. Hearing

If you get permission to appeal, what kind of hearing would you prefer?

Connect to the videoconference from a location convenient to you, like your home or your representative’s office. You’ll need a high-speed internet connection.
You’ll travel to a Service Canada Centre near you and attend using their videoconference system. The Appeal Division member will join from a different location.
Call from a location convenient to you, like your home or your representative’s office.
Your hearing will take place at a Service Canada Centre near you. The Appeal Division member will be in the same room as you.
The Appeal Division member will make their decision based on the written arguments that the parties (including you) send in. This means there won’t be an oral hearing, and you won’t be able to speak directly to the member.

You can find more information about hearings on our website at https://www.sst-tss.gc.ca/en/your-appeal.

7. Language

I want the hearing to be in
Please write to me in

(We’ll get an interpreter for you.)

 

8. Accommodation

Tell us if you need an accommodation for your appeal. We want to make sure everyone can participate in appeals on an equal basis. An accommodation is an arrangement to remove a barrier so you can participate fully in an appeal. We’ll accommodate you if you have needs related to a disability or any of the other grounds found in the Canadian Human Rights Act. Learn more at https://laws-lois.justice.gc.ca/eng/acts/h-6/ opens a new window.

To ask for an accommodation for a particular need, contact us by phone, email, fax, or mail. Our contact information is in the “Contact us” section of this form.

You can find our accessibility and accommodation policy on our website at https://www.sst-tss.gc.ca/en/decisions-laws-rules-and-policies/accessibility-and-accommodation-policy.

9. Late application for permission to appeal (if applicable)

We must receive this completed application within 90 days from the date you received your General Division decision. If we receive your application after the 90 days, you must explain why it’s late. The Appeal Division member will then decide whether your application can go forward. The Appeal Division can’t accept an application filed more than 1 year from the date you received your General Division decision.

  • If your appeal is late, explain why. Tell us why your explanation is reasonable.
  • Include supporting documents, if needed.

10. Representative information

You don’t need a representative. If you choose to have one, you’re responsible for any costs.

I am represented by:

If you have a representative:

We’ll share all the information about your appeal with your representative. Normally, we’ll communicate only with your representative. But we’ll send information about the hearing and the final decision to both you and your representative.

If you have a representative, choose their category and fill out their information below.

Optional: How would your representative like us to refer to them? We’re asking because we want to communicate with them in a respectful way.

Quels sont vos pronoms de genre?

11. Ways to communicate about your appeal

  • Online document exchange portal: This is the most secure way to send and receive documents about your appeal. Make sure your email on the document exchange portal matches the email on this application form.
  • Email: We’ll email appeal documents to you or your representative. Sending personal information by email may not be secure. If you choose to use email, you accept the risks involved.
  • Regular mail: We’ll send you all documents by regular mail.

Appellant’s communication preference

Select one

Representative’s communication preference

Select one

12. Appellant’s signature

Important

Contact us

Email: info.sst-tss@canada.gc.ca

Phone:

  • 1‑877‑227‑8577 (toll-free in Canada and the United States)
  • 1‑613‑437‑1640 (from outside Canada and the United States – long-distance charges may apply)

TTY – If you’re deaf or hard of hearing:

  • 1‑866‑873‑8381 (toll-free in Canada and the United States)
  • 1‑613‑948‑8181 (from outside Canada and the United States – long-distance charges may apply)

Our regular business hours are from 7:00 a.m. to 7:00 p.m. Eastern Time, Monday to Friday.

Website: www.sst-tss.gc.ca/en

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