Government of Ontario

Tribunals Ontario
Animal Care Review Board

Notice of Appeal
Under s. 18 of the Provincial Animal Welfare Services Act

Important Information

1. Appellant's Information



Address








2. Information about the Compliance Order, Removal Order, order to keep or statement of account you are appealing


As required, I have included a copy of the order(s) or notice(s) of removal I am appealing    

3. Reasons for Appeal


4. Remedy


Please indicate whether you require either of the following services at the hearing    

5. Acknowledgement

Read carefully; then check the below box to confirm the statement, and sign and date the form.







The Animal Care Review Board (ACRB) collects the personal information requested on this form under section 38 of the Provincial Animal Welfare Services Act and section 9(5) of Ontario Regulation 443/19 for the purpose of conducting an appeal proceeding before the ACRB. All information, including sensitive personal and financial information, submitted as part of a proceeding may become public in an open hearing and may be contained in decisions, orders, and case files, unless an order to restrict access is made. Any questions about the collection of information may be directed to the ACRB at ACRB.registrar@ontario.ca.

If you have any questions, please contact

Animal Care Review Board
15 Grosvenor St, Ground Fl
Toronto ON  M7A 2G6
Telephone: 416-327-0111 / 1-888-777-3616
Teletypewriter (TTY): 1-800-855-0511
Fax: 416-314-4270 / 1-800-720-5292
Website: tribunalsontario.ca/acrb
Email: ACRB.registrar@ontario.ca

0426E (2021/01)       © Queen’s Printer for Ontario, 2021

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