Appeal Stage 1 Notification Form (A1)

A1 - Appeal Stage 1 Notification Form

DOC223-V26-1

This form is to be completed by learners, or centres acting on their behalf, to submit formal notification to FutureQuals of an appeal and formally challenge assessment results or other decisions that differ significantly from expectations.

Applicants should provide all relevant learner, qualification and centre details, clearly set out the grounds for the appeal, and specify the outcome sought. Supporting evidence should be attached and recorded in the Evidence List, accompanied by a concise summary of its relevance.

This form should be used to submit an appeal relating to a FutureQuals qualification or apprenticeship.

Appeal Details

A1 notification date: *

Learner name: *

Your name (if completing on behalf of learner): *

Centre name: *

Centre number: *

Date you received the centre's decision: *

I confirm that I am submitting this A1 notification within 10 working days of receiving the centre's decision and have attached the final appeals outcome report: *

Please note that we are unable to proceed with the appeal if this notification is submitted outside the specified timescale or evidence is not provided.

Final appeal outcome report attachment: *

The person completing this form is: *

I confirm I am submitting an appeal for: *

Evidence

Supporting evidence upload

Evidence list, please list all supporting document file names and summary of the evidence.

Summary of appeal

Area of concern (please provide details of your appeal in less than 500 words):

Desired Outcome from appeal

Please briefly explain the outcome you would like from the appeal:

By submitting this Appeals Form, you acknowledge that FutureQuals is required to notify the centre that the appeal has been submitted to FutureQuals for consideration.

FutureQuals will acknowledge receipt of your submission within five working days by sending an Appeals Qualification Acknowledgement Form or Appeals Apprenticeship Acknowledgement Form.

Submit

A1 - Appeal Stage 1 Notification Form

Appeal Details

Evidence

Summary of appeal

Desired Outcome from appeal

Thank you for your submission.