![]() |
|
![]() At this time, only forms for appeals under the Health Insurance Act are available electronically. You may print and complete the form; however, it must be mailed or faxed to the Appeal Board. For appeals under any of the other 13 statutes, forms are not available on this website. You must send a written request for a hearing to the Appeal Board and the necessary forms will be sent to you. For information with respect to the statutory requirements, please check the appropriate Act under Legal section. INSTRUCTIONS ON COMPLETING THE PACKAGE
SUGGESTIONS YOU MAY WANT TO CONSIDER
MS Word | Adobe PDF (Fillable Form) 192KB
This form must be completed before your appeal will be heard by the Appeal Board. MS Word | Adobe PDF (Fillable Form) 82KB
This form is to confirm that you have sent Form 1 to OHIP (Subscriber Appeal). MS Word | Adobe PDF (Fillable Form) 206KB
This form is to confirm that you have sent Form 1 to OHIP (Eligibility Appeals). MS Word | Adobe PDF (Fillable Form) 207KB
If you decide that you would like to be represented by a family member or a friend at the hearing, complete this form and mail to the Board. MS Word | Adobe PDF (Fillable Form) 203KB
|
|
| home | contact us | site map | français |
| This information is provided as a public service, but we cannot guarantee that the information is current or accurate. Readers should verify the information before acting on it. |
| External Links Disclaimer |
| This site is maintained by the Health Services Appeal and Review Board. Copyright information: © Queen's Printer for Ontario, 2003 |