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APPEAL FORMS (OW/ODSP)

    
If Ontario Works (OW) or the Ontario Disability Support Program (ODSP) denies your application, reduces or terminates your benefits, or if they make any decision affecting your benefits that you disagree with, YOU CAN APPEAL, if you take action within 10 days. You must send a letter to the appropriate social assistance office, either OW or ODSP, requesting an internal review.  
    
    
Below are some links for printable versions of the Request for an internal Review forms.  you can type your information directly onto the Microsoft Word Form if you have MS Word.  You can use this letter when ODSP or OW turns down your application for disability benefits.
 Microsoft Word Form Printable Form
Form for Ontario Disability Support Program Form for Ontario Disability Support Program
Form for Ontario Works Form for Ontario Works
 

An Example Letter Prepared Below 

 

 

Request for an Internal Review

Date:___________________

 

 

Disability Adjudication Unit,
Box B18,
TORONTO, ON
M7A 1R3
 

RE:________________________     Case Number ______________

            (Name)                                                       (or Date of Birth)

Dear Supervisor,

On _________, I received the Notice of Decision dated _________,

        (date I got decision)                       (date on Notice of Decision letter)

I am requesting an Internal Review of this decision.

My reasons for asking for an Internal Review are:

 

I believe I am a person with a disability as set out in section 4(I) of the Ontario Disability Support Program Act, because I do have a substantial physical or mental impairment that is continuous or recurrent.  The direct and cumulative effect of my impairment on my ability to attend to my personal care, function in the community and function in the workplace does result in a substantial restriction in one or more of these areas of daily living.

Sincerely yours,

________________________________________

(Signature)

_________________________________________

_________________________________________

(Address)

(Keep a copy of this letter for yourself)

 

 

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