Form

Notice of Appeal against a decision of the Department for Work and Pensions - Recovery of NHS Charges: Form SSCS4

Form SSCS4: Notice of Appeal against a decision of the Department for Work and Pensions - Recovery of NHS Charges.

Applies to England, Scotland and Wales

Documents

Notice of Appeal against a decision of the Department for Work and Pensions - Recovery of NHS Charges

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Hysbysiad o apêl yn erbyn penderfyniad yr Adran Gwaith a Phensiynau Adennill Costau’r GIG yng Nghymru a Lloegr

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

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Published 28 March 2018
Last updated 13 November 2018 + show all updates
  1. Added Welsh form SSCS4.

  2. Added revised Form SSCS4 that includes GDPR information.

  3. Added revised SSCS4.

  4. First published.