PREP Appeal Request

Students submitting this application should ensure they have read and understood CPLED’s policies

This form should be used to file for appeal of a reconsideration decision that was issued by CPLED’s CEO or designate under the PREP Reconsideration and Appeal Policy. This form requires payment of the appeal fee. Please visit the program cost page to confirm the correct appeal fee amount for your province.

PREP Appeal Request

"*" indicates required fields

Insert name
Find your ID Number in the Student Portal under “MENU”.
Address of Appellant*
Insert Chief Executive Officer (CEO) or designate name
Insert date of CEO or designate decision
MM slash DD slash YYYY
Set out the basis for your appeal. If additional space is required, attach extra pages. With reference to the Appeal Record that was provided to you by CPLED, explain why you believe the reconsideration decision is unreasonable or why you believe you were negatively impacted by a lack of procedural fairness. Appeals are limited only to the information and documentation in the Appeal Record, unless the Appeal Panel is satisfied that it is in the interests of justice to consider factual information or documentation that was not before the CEO at the time of reconsideration, after considering all of the factors outlined in the PREP Reconsideration and Appeal Policy.
(if applicable)
Max. file size: 200 MB.
Are you filing supporting materials?*
Your appeal request will not be processed without payment of the appeal fee.
Max. file size: 150 MB.
(if applicable)
Address of Counsel for Appellant
(if applicable)
(if applicable)
(if applicable)
Signature*
I confirm that I have read and understood the requirements of this form and any relevant CPLED policies. I affirm that all the information and documentation provided in support of this application are accurate and true. I understand that CPLED may request further information and documentation from me in support of my application. For the purposes of verifying authenticity, I authorize CPLED to contact anyone who provided documentation submitted in support of this application, including but not limited to medical documentation.