Form of Appeal

Please ensure that the receivability criteria for the appeal are met, in particular: have you previously submitted a request for review, and is it the review decision (or the implicit rejection of that request for review) that is being challenged through this appeal?

Online Appeal Form [EN]

I. APPELLANT

Please provide your personal and contract details below.

1. First Name

2. Last Name (Mr./Ms./Mrs.)

3. Email

4. Phone number

5. Postal address

Address Line 1

Address Line 2

City

State

Zip Code

Country

6. Type of contract

7. Functions/Department

8. Date of entry on duty

9. Are you a Former Member of the personnel?

Yes

Type of former contract

Date of end of service

10. Are you a beneficiary to the rights of a deceased member of the personnel?

Yes

Full name of the deceased member of the personnel

Full name of the beneficiary/appellant

Relationship between appellant and deceased member

Upload Official Documentation (Family certificate, etc.)

Upload Document

II. CHALLENGED DECISION

Description of the challenged decision

File Upload

Choose File

III. APPEAL

Please ensure that your Appeal covers: a) Explanation of the reasons of the appeal (facts and legal arguments; b) Specific remedy or remedies sought; c) Statement confirming receivability criteria are met.

The Appeal is limited to a maximum of 25 pages (excluding annexes), in 12-point Times New Roman with 1.5 line spacing. No page limit applies to annexes. The submission must be made in French or English. Please attach your complete Appeal and all relevant documents below.

Attach Statement of Appeal & Relevant Documents

Choose File

IV. SUPPORTING DOCUMENTATION

Each supporting document referred to in the Appeal must be numbered, listed and attached, and submitted in either French or English.

Title

File Upload

Choose File

By submitting this form, I certify that all information provided and supporting documents submitted are accurate and verified. Any content prepared with the assistance of AI has been reviewed and validated by me, and I accept full responsibility for its accuracy.