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 [Repealed] Regulations relating to the Lodging and Consideration of Applications for Reconsideration of Social Assistance Application by the Agency and Social Assistance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 9 : Notification of Outcome of an Appeal

FORM9

NOTIFICATION OF OUTCOME OF AN APPEAL

(Regulation 20(1))

To:

Address:

Dear Sir / Madam

Pursuant to section 18(1A) of the Social Assistance Act, 13 of 2004, this serves to inform you of the outcome of your appeal.

A. PERSONAL DETAILS OF APPLICANT OR BENEFICIARY

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

D. OUTCOME OF APPLICATION

The outcome of your appeal is as follows:

Decision of Agency confirmed

Decision of Agency varied

Decision of Agency set aside

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

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

CHAIRPERSON

INDEPENDENT TRIBUNAL

DATE:

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