If you disagree with the decision made on your claim you have the right to request that your claim is looked at again.
You will need to complete and submit this form within one month of the date of the decision letter stating why you consider the decision to be wrong and include any information you think may support your case.
The case will be looked at again and you will be informed by letter of the outcome.
Please supply any proof you feel will support your request for reconsideration. If we need to see more we will contact you.
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