ALPHA - COMPLAINTS AND APPEALS FORM

COMPLAINTS AND APPEALS FORM
About this form

This form should be used to make a formal complaint or appeal about any aspect of the services provided to you by us or about our staff, another learner or a third party providing services on our behalf. You may also use this form to dispute an assessment decision (assessment appeal)

Please include as much information as possible about your complaint or appeal as this will help us to resolve your complaint or appeal more efficiently.
Name*
Address
Email address*
example@example.com
Phone

Complaint or appeal details
Please describe your complaint or appeal, including as much information as possible including relevant dates and persons involved. Attach any supporting evidence and reference them in your description.*
Supporting evidence1

Cancelof
Supporting evidence2

Cancelof
What would you like the outcome of this complaint or appeal to be?*
Include any other comments.

Declaration

I declare that the information provided by me to the best of my knowledge is accurate and truthful and can be used to investigate the complaint or appeal.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

COMPLAINTS AND APPEALS FORM