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Appeals Procedure Form

Appeals Procedure Learner Appeals Form

 

 

Learner

Assessor

 

Internal Verifier

 

Title of Assignment

 

Unit

 

 

 

Stage One – To be completed by the Learner

Details of Assessment Decision (Grading Criteria Awarded)

 

Learner’s Reasons for Appeal

 

 

 

 

 

Learner Signature

Date

 

 

 

To Be Completed by Assessor

Date appeals received:

Assessor Decision

 

 

 

 

 

Assessor Signature

Date

 

To be completed by Learner (delete where not applicable).

 

I understand and accept the assessment

I wish to proceed to stage two of the appeals procedure

 

Learners Signature:

Date:

 

 

Appeals Procedure

 

 

Stage 2

 

To Be Completed by Internal Verifier

 

Date appeals received:

IV Decision

 

 

 

 

IV Signature

Date

 

To be completed by Learner (delete where not applicable).

 

I understand and accept the assessment

I wish to proceed to stage three of the appeals procedure

 

Learners Signature_____________________________ Date____________________

 

 

Appeals Procedure

 

Stage 3

 

To Be Completed by the Chair of the Appeals Panel

 

Date appeals received:

Appeals Panel Decision

 

 

 

 

 

 

 

 

Signature (Chair of Appeals)

Date

 

Date of Reply to Learner_________________________________ 

 

 

Updated: 24 February 2020