Appeals Submission Form

Use this form to submit a formal appeal (Stage 2) under the Appeals Policy (DAIS-POL-001).

You may appeal a decision that affects your qualification outcome if you believe it was made incorrectly, the process was not applied fairly, a reasonable adjustment was wrongly refused, there was a procedural irregularity, or you were disadvantaged by circumstances the centre did not take into account. You cannot appeal simply because you are dissatisfied with a grade. Before submitting, you should first raise your concern informally with your assessor via the VLE (Stage 1).

Your details

Full name

Email address

Learner / application reference

DAIS application reference or NCFE/ULN learner number, if known

Qualification or unit

The decision you are appealing

What decision are you appealing?

Assignment / unit / result reference (if known)

Date of the decision

Grounds for your appeal

Your appeal

Explain your appeal What outcome are you seeking? (optional) Supporting evidence (optional)

You can attach screenshots, emails, or documents that support your appeal.

Declarations

I have already raised this informally with my assessor (Stage 1)

I confirm this appeal is based on a specific procedural or assessment concern, not simply dissatisfaction with a grade.

I confirm the information given is true and complete, and I have read the Appeals Policy (DAIS-POL-001).