Review Process

The integrity of the Ontario Works Program is enhanced through the following programs & activities:

Eligibility Review Program conducts reviews and investigations as appropriate when a complaint is received providing information that questions eligibility for financial assistance.

Consolidated Verification Process Program conducts financial reviews of case files to ensure that benefit units are receiving the correct amount of financial assistance.

Random Case Audits are conducted to ensure participants are receiving mandatory supports, appropriate case management is performed, and required information is gathered and documented.

External Case Audits are performed by the Ministry of Community and Social Services.

Internal Review Process

Applicants/Participants may use the Internal Review Process if they do not agree with a decision made with respect to prescribed mandatory financial assistance.

To proceed with the internal review, the applicant/participant must submit in writing, a request for an internal review within ten (10) days of the decision. The letter must outline why the internal review is being requested and provide an explanation of the applicants/participants actions.

The Case Presenting Officer performing the internal review is neutral and was not involved in making the decision under review. The Case Presenting Officer will uphold, vary or reverse the decision. A letter will be sent to the applicant/participant notifying him/her of the internal review decision and provide instructions on how to appeal to the Social Benefits Tribunal (SBT) if he/she disagrees.