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Request a Review

Filing Cabinet

Step 1

Before you begin:
The Review Committee encourages workers and employers to request disclosure of files before submitting a Request for Review. This ensures all parties have access to the relevant information relating to the issues in question.

If you're a worker or employer disputing a claims decision: Speak to the Claims Entitlement Supervisor, Adjudicator, Case Manager, or the Manager of Claims Services to request a disclosure of the claim file. For more information on claim file disclosures please refer to Policy 07.01, Claim File Information Access.

If you're an employer disputing an assessment decision: Speak to your Assessment Representative, or the Manager of Employer Services to request a disclosure of the employer file. For more information on employer file disclosures please refer to Policy 07.02, Employer File Information Access.

Step 1

Step 2

Complete a Request for Review form or write a letter to the Registrar of the Review Committee. Your letter must include:

  • Your claim number or employer number;
  • Date of the decision letter you want reviewed;
  • Reason(s) you disagree with the decision;
  • What you think the decision should be: and,
  • What type of hearing you wanted, whether oral or documentary.

Note: you must request a review within three years of the original decision.

Step 2

Step 3

Send in your Request for Review

Mail:

Review Committee Registrar
Workers' Safety & Compensation Commission
Box 8888
Yellowknife, NT X1A 2R3

Fax toll-free: 1 (866) 277-3677
E-mail: Review Committee