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Welfare letter of Appeal
Letter Of Appeal
If you live in the Glasgow City Council area this form will show the details of the Glasgow City Council Welfare Rights Service. If you do not live in the Glasgow City Council area or have an alternative representative then enter their details below. Please note that a late appeal will only be admitted under exceptional circumstances so give as much detail as possible. For an appeal to be valid it must contain reasons why you consider the decision to be wrong.
* Required fields
Date of letter
*
National Insurance number
*
Date of birth
(dd-mmm-yyyy)
*
Title
Mr
Mrs
Ms
Miss
Dr
Councillor
First name
*
Last name
*
House number
*
Flat number
Street name
*
City or Town
*
Postcode
*
Benefit type to appeal against
Incapacity Benefit
Disability Living Allowance Care
Disability Living Allowance Mobility
Disability Living Allowance Mobility and Care
Attendance Allowance
Other Benefit
*
Date of decision
(dd-mmm-yyyy)
*
Grounds of appeal
*
My representative is
Name
Organisation
Street number
Street name
Locality
City or Town
Postcode
If you do not want a representative check this box
I authorise the above named representative to act on my behalf. Please ensure that they receive copies of all correspondence regarding this matter. I request an oral hearing of my appeal and do not waive my right to receive full notice of the date of my appeal.
Signed
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last updated: 01 September 2004
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