Tax Court of Canada Rules of Procedure respecting the Employment Insurance Act (SOR/90-690)

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Regulations are current to 2024-10-14 and last amended on 2023-07-05. Previous Versions

SCHEDULE 5(Section 5)Form of Notice of Appeal

IN THE TAX COURT OF CANADA

In re the Employment Insurance Act

BETWEEN:

Appellant,

and

the Minister of National Revenue,

Respondent.

NOTICE OF APPEAL

Notice of appeal is hereby given by (here insert name and full postal address of Appellant) blank line from

Applies to a decision on an appeal under s. 91 E.I. Act

(i)
the decision of the Respondent on an appeal made to the Respondent on the (here insert the date the appeal was made) day of to decide whether (here describe question decided by the Respondent and the Respondent’s decision with respect to it) and that decision was communicated to the Appellant on the (here insert the date of mailing of the decision) day of

Applies to a decision on an appeal under s. 92 E.I. Act

(ii)
the decision of the Respondent on an appeal made to the Respondent for the reconsideration of an assessment made on the (here insert the date of the assessment) day of whereby (here describe assessment that was appealed for reconsideration) and the decision of the Respondent on the reconsideration was that (here insert the decision made on the reconsideration of the assessment) which decision was communicated to the Appellant on the (here insert the date of mailing of the decision) day of

A Statement of Facts
(Here set out in consecutively numbered paragraphs a statement of the allegations of fact.)
B The Reasons which the Appellant Intends to Submit
(Here set out the reasons on which the Appellant intends to rely.)
C Address for Service
(Here set out the address for service of documents:Footnote ^(*)
- (a) name and address of Appellant’s counsel, if any, or
- (b) name and address of Appellant’s agent, if any.)

Dated at (city, town or village), this blank line day of 20

Return to footnote ^(*)If the Appellant is not represented by counsel or an agent, the address given at the commencement of the notice of appeal shall be the Appellant’s address for service.