Tax Court of Canada Rules of Procedure respecting the Employment Insurance Act
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) .................................................. 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: (*)
(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 ......... day of (month and year) ............................
................................................................ Signature of Appellant, Appellant’s counsel or Appellant’s agent
________
(*) 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.
- SOR/98-8, s. 12
- Date modified: