Social Security Tribunal of Canada

Notice of Appeal: Income Security

Large-print version of official source
Notice of Appeal – Income Security – General Division (PDF 330.6 KB)

 

Fill out this form if you want to appeal a Canada Pension Plan, Old Age Security or Canada Disability Benefit reconsideration decision from Service Canada at the Social Security Tribunal (SST). We must receive your completed form within 90 days from the date you received your reconsideration 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 reconsideration decision you want to appeal

Fill out one form for each decision you want to appeal.

Please provide at least one of the following:

Please also provide the following information:

Or

2. Appellant information

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

3. Reason(s) for your appeal of the reconsideration decision (your arguments)

4. Documents to support your appeal

Include any documents that could support your appeal.

Examples of supporting documents:

  • Medical reports or medical certificates (like a doctor’s report or specialist’s report)
  • Employment documents
  • Bank statements
  • Proof of residence


I'm including copies of supporting documents:

5. Hearing

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 General 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 General Division member will be in the same room as you.
The General Division member will make their decision based on the written arguments and supporting documents 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.

6. Language

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

7. 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.

8. Late appeal (if applicable)

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

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

9. Representative information

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

Do you have a representative?

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.

10. 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

11. 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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