ACCHS_Complaints/Appeals

Complaints/Appeals Form
This form is to be used for:
- Complaints & appeals against academic assessment;
- Appeals against the notification of intention to cancel CoE;
- Appeals against the application for deferment/suspension/cancellation of the overseas Student's enrolment;
- General complaints
Student Details
Student Name*

First NameLast Name
Phone*
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

City / SuburbState / Province

Postal / Zip CodeCountry
Student ID*
Course/Unit*
Request
Please select the appropriate option*

AppealComplaint
Area of complaint/appeal*
Please describe the details of the complaint or appeal*
Have you taken any steps to resolve the issue? If yes, provide details.*
What outcome would you like to see from raising this complaint/appeal?*
Attach the supporting documentations (if applicable)

Cancelof
Student Declaration
1. I have received, read and understand the ACCHS Complaints and Appeals process.
2. I declare that the information I have provided on this application and attachments are true and correct.
3. I agree that ACCHS may conduct independent evaluation checks and that I may be requested to submit further information upon request or attend a meeting to discuss this matter further.
4. I understand that this information may also be used for the continuous improvement of the RTO's operations.
5. Processing time is 20 working days from the date of receipt.
Student Signature*

Clear
Date

DayMonthYear
Date
Office Use Only
Admin Officer
Date Received

DayMonthYear
Date
Should be Empty:

Complaints/Appeals Form

Student Details

Request

Office Use Only