REQUEST FOR REVIEW
(basic social assistance)

Recipient: Kela, Oikaisuvaatimuskeskus, PL 10, 00056 KELA

Decision concerned:
Benefit: basic social assistance
Decision number: [NUMBER from the decision letter]
Date of the decision: [DATE]
Posting date: [DATE — stated in the decision]

My claim:
I request that the decision be [corrected / amended / revoked] so that
[WHAT YOU CONCRETELY DEMAND — e.g. social assistance is granted as applied
for the period X / the expense Y is accepted as an expense / income is
recalculated according to my actual income].

Grounds:
[EXPLAIN CONCRETELY WHAT IS WRONG IN THE DECISION AND WHY. E.g.:

The decision calculated my income as [AMOUNT], but my actual net income
was [AMOUNT], as shown by the attached bank statement.

OR: The expense [WHICH] that I applied for is necessary, because
[GROUND], and it has not been taken into account in the decision.

OR: The decision did not take into account the following fact: [EXPLAIN].]

Attachments:
[LIST ALL ATTACHMENTS — e.g. bank statement 06/2026, rental agreement,
invoice, medical statement]

[DATE]
[FIRST NAME LAST NAME]
[PERSONAL IDENTITY CODE]
[ADDRESS]
[PHONE NUMBER]