Last week we discussed what has been happening recently with CPP and the state of decision letters. This week, I want to go into the next steps that you should take if you do receive a denial letter after applying to CPP Disability.
If your CPP Disability application has been denied by Service Canada, you have the option to appeal and ask them to reconsider their decision.
The reconsideration appeal is the first level in the CPP Disability appeal process. The reconsideration appeal is made directly with Service Canada, and it is not handled by the same medical adjudicator who made the decision to deny your application.
In Order to start the process, you first have to submit a “Request for Reconsideration” letter to Service Canada, letting them know that you will be appealing their decision. This letter must be sent within 90 days of the day you received your Service Canada denial letter.
As we mentioned above, you need to submit the request for reconsideration before the 90 day deadline. This can be submitted by writing a letter or submitting Service Canada’s Form
If you decide to submit your request through the Service Canada Form, here is a guide of the five different sections:
Your Contact information will be entered here
Here you will fill in the date of your application denial, and if you are sending this request in the 90 day period.
Check the boxes that best apply to your situation in this section. If you are still waiting on documents, there is space for you to list what you are waiting on, and when you anticipate receiving these documents.
This section is for you to give the reason(s) why you want the Medical Adjudicator to reconsider their decision.
Sign and date where indicated.This signature must be done in ink (not digitally)
If you decide to send a letter, here is an example of a basic outline:
Appeals and Reconsideration Division
Canada Pension Plan
Your Regional Office (Address located on denial letter)
Re: Denial of Canada Pension Plan Disability Benefits
I do not agree with your decision to deny my CPP disability benefits. I am disabled according to the legislative criteria and I wish to request a reconsideration.
Additional information to support my appeal may be forth coming and I request that your office contact me to discuss this appeal prior to making a decision to ensure that I have had the opportunity to submit all the information I can to support my reconsideration appeal.
I can be reached at: (Phone Number)
If you are including any documents along with your letter, indicate the documents that you are attaching in a bulleted list, giving each a name and the date obtained. Also indicate the time period that these records were covered.
Finally, here are some self-help strategies to increase your chances of success. Make sure you have done the following:
After receiving your appeal letter and documents, it is common for the CPP disability medial adjudicators to contact you to clarify things or ask your assistance in getting more information. This information that the adjudicator is seeking will be helpful to your claim.
If you have any questions, concerns or need help with this process contact us! We are here to help you.
DCAC will assess your particular situation and provide prompt feedback on your chances of a positive outcome.