Appeal Stage 2 Notification Form (A5)

A5 – Appeal Stage 2 Notification Form

DOC227-V26-1

This form is to be completed by learners, or centres acting on their behalf, to submit formal stage 2 notification to FutureQuals of an appeal and formally challenge a decision 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 only.

Appeal Details

A5 notification date: *

Learner name: *

Your name (if completing on belahf of learner):

Previous case reference number: *

Further supporting documentation not previously submitted is attached: *

I confirm stage 2 appeal must be made within 10 working days of A4 being provided *

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 why the stage 2 appeal has been requested

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

Desired Outcome from Appeal

Please briefly explain the outcome:

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 Stage 2 Qualification Acknowledgement Form.

Submit

A5 – Appeal Stage 2 Notification Form

Appeal Details

Evidence

Summary of why the stage 2 appeal has been requested

Desired Outcome from Appeal

Thank you for your submission.