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Filling out the appeal notification from police authority to the police medical appeal board is a critical step for individuals seeking to contest a medical decision. This guide will provide clear and supportive instructions to help you successfully complete the form online.

Follow the steps to complete your appeal notification form.

1. Click the ‘Get Form’ button to access the appeal notification form. This will allow you to open the document in an editable format.
2. Identify the recipient of the appeal by filling in the name of the police medical appeal board in the designated section.
3. Complete the 'From' section by entering the name of your police authority and the corresponding date.
4. Fill in the full name of the appellant, noting if they are a serving or retired officer. If retired, provide the date of leaving service.
5. Input the appellant's current rank or rank at the time of leaving service, along with their date of birth and contact details, including both their home and mobile telephone numbers.
6. Provide the contact details for the appellant’s representative by including their name, position, telephone number, and address.
7. Clearly state the medical issue under dispute and reference the medical report date as noted under regulation H2.
8. Indicate whether the selected medical practitioner wishes to attend the hearing. If applicable, provide possible dates they are unavailable for the next five months.
9. List representatives from the police authority who will attend the hearing, noting their capacity and the nature of their representation.
10. Specify whether the appellant has consented to the disclosure of their occupational health file to the board and confirm attachment of necessary documents.
11. Sign the form with the date and your position, and ensure all attached documents are listed at the end of the form.
12. Once completed, you may save changes, download, print, or share the form as needed for submission.

Complete your appeal notification form online today to ensure your case is heard.