CPP Disability Reconsideration Request

The Canada Pension Plan (CPP) Disability benefit provides financial support to individuals who are unable to work because of a severe and prolonged disability. While the application process is straightforward, many applicants receive a denial. If you believe the decision was incorrect, you have the right to request a reconsideration (also called a review). This guide walks you through everything you need to know to prepare a strong reconsideration request.

1. Understanding When a Reconsideration Is Appropriate

A reconsideration is not a new application. It is a request that the original decision be reviewed by a different set of CPP staff. You should consider filing if:

• New medical evidence has become available since the original decision.
• Important information was omitted from the original application (e.g., test results, specialist opinions).
• You believe the assessors misinterpreted the information that was already submitted.
• You have a clear explanation of why the disability meets the CPP criteria (serious, prolonged, and preventing work at any job you could perform regularly).

2. Timeline When to Act

You have 60 days from the date of the denial letter to file a reconsideration request. If you miss this deadline, you may still be able to apply for an appeal, but the process becomes longer and more formal.

3. Gathering Supporting Documentation

Strong evidence is the cornerstone of a successful reconsideration. Aim to include:

• Updated medical reports from the treating physician, specialists, or allied health professionals. They should describe the nature of the disability, prognosis, functional limitations, and why return to work is not realistic.
• Objective test results such as MRI, CT scans, nerve conduction studies, pulmonary function tests, etc.
• Functional capacity evaluations (FCE) that objectively assess what physical or mental tasks you can perform.
• Letters from employers (if applicable) that detail attempts at accommodation and why they failed.
• Personal statement describing daytoday impact, treatment history, and why you cannot work.

4. How to Write the Reconsideration Request

While there is no set template, a clear, concise, and organized letter improves readability. Include the following sections:

4.1 Header

Write your full name, address, CPP Service Number (or Social Insurance Number, if you prefer), and the date. Address the letter to Disability Reconsideration Department, Service Canada.

4.2 Introduction

State that you are requesting a reconsideration of the decision dated [date of denial]. Mention your CPP Service Number and the type of benefit (CPP Disability).

4.3 Summary of the Original Decision

Briefly summarise why the original decision was made (e.g., The decision stated that my condition was not severe enough to meet the CPP disability criteria). This shows you understand the assessment.

4.4 New Evidence & Explanation

List each new piece of evidence, explaining what it shows and why it was not previously considered. Attach each document and reference it (e.g., See attached MRI report dated 12March2024).

4.5 Why the Decision Should Be Reversed

Link the new evidence directly to the three CPP disability criteria:

1. Severity explain how the medical reports demonstrate that the condition limits basic activities.
2. Duration include prognosis statements indicating that the condition will last at least one year or be lifelong.
3. Inability to work at any job describe functional limitations and how they prevent you from performing any job you could reasonably obtain given your education, experience, and age.

4.6 Closing

Thank the reviewer for their time, request a written response, and provide your contact information for any followup.

5. Submitting the Request

You can send the reconsideration package in one of three ways:

• Mail Send to the address on the denial letter. Use registered mail for proof of delivery.
• Fax Fax number appears on the denial notice. Request a fax confirmation receipt.
• Online Log in to My Service Canada Account and upload the documents. This is often the fastest method.

6. What Happens After Submission?

Service Canada will acknowledge receipt within 30 days. A new reviewer will examine your file and may contact you for additional information or an inperson interview. Most reconsiderations are decided within 24 months, although complex cases can take longer.

7. Possible Outcomes

There are three possible results:

• Approval You will begin receiving CPP Disability benefits retroactive to the original application date, less any overpayment.
• Partial approval Benefits may be granted for a reduced amount or for a limited period if the disability is not deemed lifelong.
• Denial The decision will outline why the evidence was insufficient. You may then proceed to an appeal before the Social Security Tribunal (SST).

8. If the Reconsideration Is Denied Next Steps

Should your request be denied, you have up to 90 days from the new decision to file an appeal with the SST. The appeal process is formal and may involve a hearing before an administrative law judge. You can seek assistance from a disability lawyer or a community organization experienced with CPP appeals.

9. Helpful Resources

• Service Canada CPP Disability Benefit Overview
• CPP Disability Apply for Disability
• Social Security Tribunal SST Appeals Information
• Legal Aid Find legal aid services in your province

10. Final Checklist Before Sending

• Confirm you are within the 60day window.
• All new medical evidence is dated and signed.
• Letter follows the structure recommended above.
• All documents are clearly labelled and referenced in your letter.
• Copy of the original denial letter is included.
• Proof of delivery (registered mail receipt, fax confirmation, or online upload receipt) is saved.

Submitting a wellorganized, evidencerich reconsideration request greatly improves your chances of having the decision overturned. While the process can be stressful, staying organized and adhering to deadlines are the most effective strategies for success.