From [Your Address]
APPEAL [The address on the Jobcentre Plus letter]
Date
Dear Sir/Madam
APPEAL
Your Ref: [Your National Insurance Number]
Your Decision Dated: [The date at the top of the Jobcentre Plus’s letter]
I wish to appeal your decision that I do not have a limited capability for work. This is for the following reasons:
[Give the reasons why you think you are entitled to this benefit] Yours faithfully
[Your signature]
[Your name]
[ A contact telephone number, if you have one]