License Notice of Appeal Fee(s): Appeal Fee $50 Personal InformationName of Appellant(Required) First Last Agent Name (if applicable) First Last Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone(Required)Email(Required) License / Application ParticularsLicense Number License Type(Required)CommercialHome BasedAdult ServiceNon-resident BusinessCannabisChild Care CentreMobile Food TruckMobile Vending CartResidential Care HomesShort-Term AccommodationsSidewalk Cafes & Parking PatiosTaxis & Transportation Network CompaniesLicense Expiry Date DD slash MM slash YYYY License Application Date DD slash MM slash YYYY Address of Business (if applicable) Street Address My License Was:(Required) Refused Suspended Cancelled Made Conditional Reasons For Appeal(Required)Explain your reasons for appeal and state the material facts upon which this appeal is based. Be specific and provide as much detail as possible.Supporting DocumentsAccepted file types: jpg, png, pdf, doc, docx, Max. file size: 128 MB.Documents supporting your reasons for appeal.Please Note: An appellant who files a notice of appeal shall at the time of filing the appeal pay a fee of $50.00 which is non-refundable and may not be waived or reduced under any circumstances.This personal information is collected under the authority of The Local Authority Freedom of Information and Protection of Privacy Act. This information will be used for processing your appeal and will become part of a public agenda. If you have any questions regarding the collection of this information, please contact the Saskatoon License Appeal Board at (306) 975-3240 or 222 - 3rd Avenue North, Saskatoon SK, S7K 0J5.Date(Required) DD slash MM slash YYYY Signature(Required) Please enter your full name.License Appeal Fee Price: Total CommentsThis field is for validation purposes and should be left unchanged. You must have Javascript enabled to use this form. Please enable it or upgrade your browser to a more current version.
