Government of Ontario

Fire Safety Commission
Safety, Licensing Appeals and
Standards Tribunals Ontario

77 Wellesley St. West, Box 250
Toronto ON  M7A 1N3
Telephone: 416-327-6500
1-844-242-0608
Fax: 416-314-4270
1-800-720-5292
Website: www.slasto-tsapno.gov.on.ca/lat-tamp/en/

Application for an Extension of Time
Under s. 26 (3) of the Fire Protection and Prevention Act, 1997

Important Information

• Use this form to request an extension of time to file an appeal to the Fire Safety Commission under section 26 (3) of the Fire Protection and Prevention Act, 1997.
• You must complete all sections of this form and attach additional information / documents as required. The processing of your appeal could be delayed if information or documents are missing.
• You have the right to a representative. If you have a representative, have them complete the Commission’s Declaration of Representative form and attach it to this form.

1. Address of Subject Property

Unit Number
Street Number
Street Name
PO Box
City/Town/Municipality
Province   AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon
Postal Code

2. Appellant's Contact Information

Last Name
First Name
Middle Initial

3. Reasons for Application

Describe in detail the reasons for you are requesting this extension of time. Attach additional pages if you require more space.

4. Signature

Name

Signature of Representative


Date (yyyy/mm/dd)

The Fire Safety Commission collects the personal information requested on this form under sections 26, 33, and 36 of the Fire Protection and Prevention Act, 1997. This information is being collected for the purpose of conducting a proceeding before the FSC. Any questions about this collection may be directed to the Fire Safety Commission at 416-212-0334 or toll-free at 1-844-242-0608.