Sst Noa Gd Form PDF Details

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QuestionAnswer
Form NameSst Noa Gd Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namessst noa gd ei employment insurance, how to apply ei online, canada sst noa gd ei employment insurance, sst noa gdei ei download

Form Preview Example

Notice of Appeal – Employment Insurance – General Division

Également disponible en français

Fill out and sign this form if you want to appeal a reconsideration decision from the Canada Employment Insurance Commission. We must receive your completed form within 30 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 on our website at www1.canada.ca/en/sst/forms/open-justice.html.

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.

1 - Appellant

I am (please select only one):

an individual (fill out Section 2A)

an employer (fill out Section 2B)

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2 - Appellant / contact person information

2A. Individual

 

2B. Employer

 

 

 

First name

Contact person’s first name

 

 

 

Last name

Contact person’s last name

 

 

 

 

Appellant’s Social Insurance Number (SIN)

Full business name

 

 

 

 

 

 

Canada Revenue Agency business number

 

 

 

 

 

This appeal relates to the following

 

employee/former employee (if applicable):

 

First name

 

Last name

 

 

 

 

Contact information

I want the Tribunal to send me correspondence and documents related to my file by email. Yes → Email address: _____________________________________________________

No

Home / Business address (No., Street, R.R.)

Apt. / Unit

City / Town

 

 

 

Province / Territory

Postal code

Country

Phonenumber(withareacode)

Other phone number(withareacode)

Fax number (with area code)

I don’t have a phone.

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3 - Hearing

What kind of hearing would you prefer?

No preference

By phone (Call from a location convenient to you such as your home or your representative’s office.)

By videoconference at a Service Canada Centre (You will travel to a Service Canada Centre near you and participate using their videoconference system. The Tribunal member will join from a different location.)

By videoconference from your personal computer or mobile device (Connect to the videoconference from a location convenient to you such as your home or your representative’s

office. The Tribunal member will join from a different location. This option requires a high-speed internet connection. We will contact you to ensure this option will work for you.)

In-person (Your hearing will take place at a Service Canada Centre near you. The Tribunal member will be in the same room as you.)

4 - Language

 

I want the hearing to be in:

 

Please write to me in:

 

 

English

 

 

English

 

 

 

 

 

 

French

 

 

French

 

 

 

 

 

 

 

 

 

 

I am not comfortable speaking either English or French. At a hearing, I will need an interpreter. (The Tribunal will get an interpreter for you.)

The interpreter must speak this language:

My dialect or country of origin (if applicable):

 

 

5 - Accessibility (alternate arrangements)

Please tell us if you need any alternate arrangements for your appeal (such as wheelchair access for your hearing). We want to ensure that everyone can participate in our proceedings on an equal basis.

To request accommodation for a particular need please contact us by phone, email, fax, or mail. All our contact information is at the end of this form.

You can find more information on our accommodation and accessibility policy on our website at www1.canada.ca/en/sst/accessibility/accessibility.html.

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6 - Reconsideration decision

I am attaching a copy of my reconsideration decision.

I received my reconsideration decision on (Year - Month - Day):

__________________________________

or

 

I don’t remember.

 

7 - Reason(s) for your appeal of the reconsideration decision

Explain what you disagree with in your reconsideration decision and why. Attach extra pages if necessary.

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8 - Documents to support your appeal

Include any documents that could support your appeal.

Examples of supporting documents:

•Pay stubs

•Record of employment

•Collective agreement

•Employment contract

•Bank statements

•Medical reports or certificates (example, doctor’s report or specialist’s report)

•Proof of residence

I am including copies of supporting documents:

Yes

No

9 - Late appeal (if applicable)

We must receive this completed form within 30 days from the date you received your reconsideration decision. If we receive your notice of appeal after the 30 days, you must explain why it is late. The Tribunal member will then decide whether your appeal can go forward. Please note that the Tribunal can’t accept an appeal filed more than one year from the date you received your reconsideration decision.

Explain why we should accept your late appeal. Attach extra pages if necessary.

The Tribunal member will consider:

•Whether you have a reasonable explanation for why your appeal is late

•What steps you took that show that you always intended to appeal

•Whether extending the time for filing your appeal would be unfair to the other party/parties

•Whether your appeal has a reasonable chance of success

•Any other reason why we should allow your appeal to be filed late

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10 - 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?

Yes

No (go to Section 11)

Please indicate which category of representative you have and fill out their information below.

Lawyer / legal clinic

Paralegal / notary

Advocacy group

Union representative

Family member / friend

 

 

Other

Please specify: ____________________________________________________

 

 

 

 

 

 

First name

 

Last name

 

 

 

 

 

Name of company, law firm, association, or organization (if applicable)

I have confirmed with my representative that they want the Tribunal to send them correspondence and documents by email.

Yes → Email address: ______________________________________________________

No

Address (No., Street, R.R.)

Apt. / Unit

City / Town

 

 

 

Province / Territory

Postal code

Country

Phone number (withareacode)

Other phone number(withareacode)

Fax number (with area code)

11 - Declaration and signature of appellant

I declare that, to the best of my knowledge, all the information I provided as part of my notice of appeal is true.

If you have a representative:

I authorize the Tribunal to share any information about my appeal with my representative. I understand that the Tribunal will normally communicate only with my representative and that I will personally receive information only about my hearing and the final decision.

Signature of appellant:

Year - Month - Day

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How to submit your appeal

Fill out, sign, and send us a copy of this form and copies of any supporting documents by email, fax, or mail. Keep all your original documents.

Email: info.sst-tss@canada.gc.ca

Fax: 1-855-814-4117 (toll-free in Canada and the United States)

1-613-941-5121 (long distance charges may apply)

Mail: Social Security Tribunal of Canada

PO Box 9812

Station T

Ottawa ON K1G 6S3

Questions?

Email us at info.sst-tss@canada.gc.ca or call our toll-free line from Canada or the United States at 1-877-227-8577 (TTY: 1-866-873-8381).

You can also call collect from outside Canada or the United States at 1-613-437-1640 (TTY: 1-613-948-8181).

Website: www1.canada.ca/en/sst

Tips

►Email is the fastest way to send us information.

►Send one form for each decision you want to appeal.

►You must tell us if your contact information changes. If we can’t reach you, we may proceed in your absence.

►Keep all letters or documents we send you. They are numbered for easy reference and will be needed at yourhearing.

►If you change your representative, tell us right away.

►Everything you send us must be in either English or French. If you need information about translation, visit our website at www1.canada.ca/en/sst/translation.html.

SST-NOA-GD-EI (2020-05) E

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This document will require some specific details; in order to ensure accuracy, take the time to bear in mind the next tips:

1. The canada sst noagd ei employment insurance usually requires certain details to be typed in. Make sure the next blank fields are filled out:

ei paper report form download writing process explained (step 1)

2. Soon after performing this part, go to the subsequent part and fill out the necessary particulars in these blank fields - First name, Last name, Contact persons first name, Contact persons last name, Appellants Social Insurance Number, Full business name, Canada Revenue Agency business, This appeal relates to the, Last name, Contact information, and I want the Tribunal to send me.

Stage # 2 of filling out ei paper report form download

3. This third step is normally simple - fill out all the empty fields in I want the Tribunal to send me, Home Business address No Street RR, Apt Unit, City Town, Province Territory, Postal code, Country, number with area, code, Fax number with area code, Phone number with area, code, Other, phone, and I dont have a phone to finish the current step.

Other, code, and Province Territory of ei paper report form download

4. All set to complete this next portion! In this case you'll get these Hearing What, kind of hearing would you prefer, preference, Call from a location convenient to, phone, By office, videoconference at a Service Canada, By you and participate using their, You will travel to a Service, Canada, Centre, Centre near, By videoconference from your, your representatives location This, and Connect to the form blanks to fill out.

Filling out segment 4 of ei paper report form download

5. To finish your form, this last subsection includes several extra blanks. Filling out Language I want the hearing to, English, French, Please write to me in, English, French, I am not comfortable speaking, The Tribunal will get an, The interpreter must speak this, Accessibility alternate, for your appeal such as wheelchair, in our proceedings on an equal, To request accommodation for a, You can more information on our, and policy on our will certainly finalize the process and you will be done in a blink!

Writing segment 5 of ei paper report form download

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