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How to Appeal

Proactive Disclosure

For Those Living Outside Of Canada

Attention: Appellants Living Outside Canada [PDF version 90 kB]
Attention: Added Parties Living Outside Canada [PDF version 80 kB]

If you live outside of Canada and have appealed to OCRT, please complete this form to further assist us in the processing of your appeal.
Appellant Information:
Your Name:
Social Insurance Number (SIN) or Appeal Number :
Address:
Apt, Street No, Street:
City:
Province:
Country:
Postal Code:
Telephone Number:
Fax Number:
E-mail (if applicable):

1) Will you be attending your Review Tribunal Hearing in person?

Yes No


2) Will a family member, friend or a representative attend the hearing to represent you at the hearing?
Yes:	Please complete the "Authorization to Disclose" form.
No:

3a) Are you fluent in one of the official languages of Canada?

English:	Yes	No
French:	Yes	No

3b) Will you require the services of an interpreter for another language other than English or French?

Yes

3c) If you have answered "YES", please indicate for which language and dialect:

Language of Interpretation:
Dialect (if applicable):

Comments/Notes:

________________________________	_____________________
Signature	Date

Authorization to Disclose

To be completed by appellant:

For the purposes of representing me in my appeal, I, give the Office of the Commissioner of Review Tribunals permission to give any and all relevant information regarding my Canada Pension Plan or Old Age Security appeal to the following representative:

Representative's Name:
Address:
Apt, Street No:
City:
Province:
Country:
Postal Code:
Telephone Number:
Fax Number (if applicable):
E-mail (if applicable):

Please return this form to:
Office of the Commissioner of Review Tribunals
Canada Pension Plan/Old Age Security
P.O. Box 8250, Station "T"
Ottawa, ON
CANADA K1G 5S5