Instructions For Filing an Appeal
Jurisdiction (Authority of the Appeals Commission)
The Appeals Commission can only address appeals on decisions
from a WCB review body (formerly known as the Claims Services Review
Committee (CSRC) or the Assessment Review Committee (ARC)) - the
first levels of appeal.
Deadline for Submitting an Appeal
You have one (1) year from the date the WCB review body issued
its decision to submit your appeal to the Appeals Commission.
Obtaining Representation
If you are an injured worker, you may wish to find a representative before
you begin the appeal process. You may contact the Office of the Appeals Advisor
to obtain a representative.
How to File an Appeal
When filing an appeal at the Appeals Commission, you may either:
- write a detailed letter which includes all of the criteria listed below
OR
- complete and submit a Notice of Appeal Form
Notice of Appeal Form
Click here to
access the Appeals Commission?s standard Notice of Appeal Form.
Specific Requirements when Requesting an Appeal
Whether you write a letter or complete the form, you must make
sure you have met the appeal information requirements in order for
the Appeals Commission to proceed with the processing of your appeal.
The specific requirements for an appeal are outlined below.
Appeal in writing and include the following:
- Your WCB claim number(s) OR your employer account number(s)
- Your full name (worker appeal) OR the employer contact name
(employer appeal)
- Your complete mailing address
- Your telephone number(s)
- A fax number (if available)
- The name and contact information of any designated representative:
- Their full name, complete mailing address, telephone number(s),
and fax number (if available)
- The specific WCB review body (formerly CSRC or ARC) decision(s)
you are appealing:
- attach the exact decision(s) the WCB review body made
that you disagree with
- List each decision separately when there are multiple issues and indicate the page number where the issue appears. If more than three issues are being appealed, the additional issues may be attached using the Additional Appeal Issues Form.
- Include the date of the decision(s)
For more information, please refer to the Appeals Commission?s Practice Guidelines.
Mail, courier or deliever your completed Notice of Appeal Form to:
Appeals Commission
Energy Square Building
#901, 10109 ? 106 Street
Edmonton, Alberta T5J 3L7
OR
Send By fax to: (780) 412-8701
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