Notice of Appeal – Income Security – General Division
Fill out and sign this form if you want to appeal a Canada Pension Plan or Old Age Security reconsideration decision from the Minister of Employment and Social Development Canada. We must receive your completed form within 90 days from the date you received your reconsideration decision.
Please attach a copy of your reconsideration decision to this form.
You must provide all the information below. The Social Security Tribunal Regulations require this.
We will share any documents you give us with any other parties to your appeal.
We publish many Tribunal decisions online so that people can understand how the Tribunal works. If we publish the decision in your appeal, we will first remove any information that reveals your identity.
We understand that parties may have privacy concerns. We try to respect those concerns. At the same time, the law requires us to be open about the Tribunal’s work. Learn more about how we balance open justice and privacy by reading our open justice and privacy statement (opens in new window).
If you have questions on how to fill out this form, call our toll-free line from Canada or the United States at 1‑877‑227‑8577 (TTY: 1‑866‑873‑8381) or call collect from outside Canada or the United States at 1‑613‑437‑1640 (TTY: 1‑613‑948‑8181), Monday–Friday between 7 a.m. and 7 p.m. Eastern Time.
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