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Appeals Commision

Application for Extension of Time

ATTENTION: Once you start to complete the Application for Extension of Time application, you will NOT be able to save the information and come back to submit it later. It will not save or be submitted until you click the SUBMIT button.

Please see Practice Guideline #4 – Extending Time to Appeal for information that will help you complete your application.

Please make sure you have the items below before starting :

  • an email address; and
  • The Notice of Representation form if you have a representative, in either JPEG or PDF format.
    Note: The form must be signed and dated by the person being represented within two(2) years of being submitted to the Appeals Commission.


If you have a representative to assist you with your application for extension of time, you must submit a separate Notice of Representation form at the same time you submit this form. If you plan to get a representative, you must submit the Notice of Representation once you have a representative. This gives us the authorization to work with your representative.

You have the option of representing yourself or finding someone to help with an appeal to the Appeals Commission.  

 A representative is someone who is authorized, in writing, to act on your behalf (preparing your appeal and making arguments during your hearing).

You will need to provide your representative with written permission to get a copy of your file and act as your representative.

Notice of Representation form:

The Notice of Representation form gives us permission to discuss your appeal with your representative.  

After you have a chosen a representative, you need to sign a Notice of Representation form and send it to the Appeals Commission.

Please submit a complete Notice of Representation form. 

  • The form must be signed by the person who is being represented.
  • The date on the form must be no more than 2 years earlier than the date the form is submitted.

Please complete the Notice of Representation form. This form must then be signed and dated before uploading. The form must be signed and dated by the person being represented within two (2) years of being submitted to the Appeals Commission.



Upload the Notice of Representation form in either PDF or JPEG format.

I apply to extend the time period for filing an appeal to the Appeals Commission from the following decisions of the Dispute Resolution and Decision Review Body (DRDRB):



Claim/Account
Date of the DRDRB decision
Attach a copy of the decision/determination
 


By my signature, I apply for an extension of time. I also consent to the collection, use and disclosure of my personal information provided in this form, and the disclosure of my personal information related to the application, to the other parties with a direct interest in this application and the WCB.


A representative may submit this application only if they are authorized as a representative in this appeal. The appellant can authorize a representative by completing the Notice of Representation section of this application form or submitting a Notice of Representation form to the Appeals Commission.

Documents Submitted Electronically

Our email server automatically records the date and time that you submit electronic documents. This is the time and date that we mark these documents as ‘received’.