Application for permission to appeal to an Upper Tribunal judge and notice of appeal for social security, child support, tax credits, housing benefit and council tax benefit cases

Published date21 March 2018
Subject MatterAdministrative Appeals Chamber (Upper Tribunal) forms

Upper Tribunal

(Administrative Appeals Chamber)

Office Stamp

(Date Received)

Application for permission and Notice of Appeal

From First-tier Tribunal (Social Entitlement Chamber)

You MUST have applied to the First-tier Tribunal for permission to appeal

against their decision before you fill in this form

Use this form to apply for permission if you have been refused permission by the First-tier Tribunal or to appeal if you have been granted permission

Please complete the form in CAPITAL LETTERS using black ink or by typing



This information can be found on the decision notice sent to you by the First-tier Tribunal.

First-tier Tribunal Reference

First-tier Tribunal Decision Date


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