Please read the information below before completing this application form. You may appeal a school board decision to expel a pupil if you are a:
You must submit this application form to the Child and Family Services Review Board (CFSRB) within thirty (30) days of receiving written notice of the school board's decision to expel a pupil.
Last Name First Name
Street Number Street Name Suite/Unit/Apt. City/Town Province Postal Code
Last Name First Name Middle Name Date of Birth (yyyy/mm/dd) Name of school pupil was attending at time of expulsion
School Board Name
Date of the Decision (yyyy/mm/dd) Street Number Street Name Suite/Unit/Apt. City/Town Province Postal Code
From the pupil's school only From all schools of the School Board
Date notice of decision was received (yyyy/mm/dd):
Use the space below and attach additional pages if necessary.
Order that any record of the expulsion be removed or amended
Interpreter Yes No Language Dialect Sign Language Interpreter Yes No Wheelchair Access Yes No Other (please specify)
Signature Date (yyyy/mm/dd)
(Freedom of Information and Protection of Privacy Act) The Child and Family Services Review Board collects the personal information requested on this form for the purpose of conducting an appeal under the legal authority of section 311.7 of the Education Act. It will be shared with the School Board. If you have any questions, please contact a Case Coordinator with the Child and Family Services Review Board at 416 327-4673 or Toll Free 1 888 728-8823.
File Number Date Application Received by the CFSRB