Regulations > [Repealed] Regulations relating to the Lodging and Consideration of Applications for Reconsideration of Social Assistance Application by the Agency and Social Assistance Appeals by the Independent Tribunal > Annexure A : Consolidated Forms > Form 2 : Notification of Outcome of Consideration of an Application for Reconsideration

FORM 2

NOTIFICATION OF OUTCOME OF CONSIDERATION OF AN APPLICATION FOR RECONSIDERATION

(Regulation 3(5))

[Section 18(1) of the Social Assistance Act 13 of 2004]

TO:

Address:

Dear Sir / Madam

Pursuant to section 18(1) of the Social Assistance Act, 13 of 2004, this serves to inform you of the outcome of your application for reconsideration of the Agency's decision.

A. PERSONAL DETAILS OF APPLICANT OR BENEFICIARY

Name and Surname
ID Number

B. DETAILS OF GRANT APPLICATION AND APPLICATION FOR RECONSIDERATION

Agency Office:				Date of Application:		Date of Rejection:
Date of Application For Reconsideration:				Date of Rejection of Application for reconsideration
Type of Grant (Mark with "X")
Disability	Older Persons'	War Veteran	Foster Child	Care Dependency	Child Support	Grant in Aid	Social Relief of Distress

C. OUTCOME OF APPLICATION FOR RECONSIDERATION

The outcome of your application for reconsideration is as follows:

	application upheld.

	application dismissed.

Reasons: .........................................................................................................................

........................................................................................................................................

If you wish to appeal against the above decision, you may appeal to the Minister of social Development, in terms of Regulation 14 in a form similar to Form 3, against such decision within ninety (90) of gaining knowledge of such decision.

The appeal must be sent to:

DEPARTMENT OF SOCIAL DEVELOPMENT

INDEPENDENT TRIBUNAL FOR SOCIAL ASSISTANCE APPEALS

PRIVATE BAG X901

PRETORIA

0001

CHIEF EXECUTIVE OFFICER

SOUTH AFRICAN SOCIAL SECURITY AGENCY

DATE:

Signature or thumb print of recipient (If hand-delivered) Date

Print Name

Social Assistance Act, 2004 (Act No. 13 of 2004)

Regulations

Regulations relating to the Lodging and Consideration of Applications for Reconsideration of Social Assistance Application by the Agency and Social Assistance Appeals by the Independent Tribunal

Annexure A : Consolidated Forms

Form 2 : Notification of Outcome of Consideration of an Application for Reconsideration