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UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 1 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
You should complete this form if you have been notified of the outcome of your Formal Stage Academic Appeal
and are still not satisfied. If the issue you are concerned about is more generally related to academic matters but
not academic results, you should use the Student Complaints Procedure available on MySuffolk and the
University of Suffolk website.
Before completing this form, it may help to seek advice about your concerns. Support and advice is available from
a number of sources – try speaking to your tutor, personal tutor, or supervisor. Student Services and/or the
Students’ Union Advice Service will also provide confidential and independent advice.
If you have any concerns or queries about filling in any part of the form, the people mentioned above will be
pleased to discuss these with you.
SECTION A – YOUR PERSONAL DETAILS
Full Name
Student Code
Preferred address for
postal correspondence
Post Code
Telephone number
Email address
NOTE: Acknowledgement of receipt of your form and any progress updates will be sent to
your University of Suffolk email address, and copied to the address provided above.
If the contact details above are different to those held by the University please update your
contact details as soon as possible on OASIS.
SECTION B – YOUR COURSE DETAILS
School or Partner Institution
Course title
Level/Year of study
Full-time or Part-time
ACADEMIC APPEAL FORM
(Review Stage)
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 2 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
SECTION C – YOUR FORMAL STAGE APPEAL
When did you submit your formal stage appeal?
What was the outcome of your formal stage appeal?
When were you informed about the outcome of your formal stage appeal?
SECTION D – YOUR REVIEW STAGE APPEAL
D1: What academic result/decision do you want to appeal at review stage? (tick all that
apply)
Please provide brief details of the academic result(s) or decision being appealed
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 3 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
D2: What are the grounds for your review stage appeal? (tick all that apply and provide details below)
Please explain the reason for your review stage appeal (continue overleaf if necessary)
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 4 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 5 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
D4: How would you like your appeal to be resolved?
SECTION E – SUPPORTING EVIDENCE
Please list below the evidence you are attaching to support your appeal
NOTE: Your appeal will be considered on paper evidence only so ensure you submit all
evidence and supporting documentation relevant to your appeal.
UNIVERSITY OF SUFFOLK
Academic Appeal Form – Review Stage Page 6 of 6
Version: 4.0 (August 2020)
Owner: Academic Registrar
SECTION F – DECLARATION
I confirm that the information given on this form and in supporting documents is true to the
best of my knowledge and belief.
I agree that my appeal may be disclosed to relevant members of the University to the extent
necessary for its consideration.
I authorise the reviewer(s) of this appeal to consider this form and any relevant information
held by the University to the extent necessary for the consideration of my appeal.
Signed
Date
Where to submit your review stage appeal
Once completed, this form and your supporting evidence should be submitted to the Office
for Student Appeals, Complaints and Conduct (OSACC)
Email: osacc@uos.ac.uk
Post: Office for Student Appeals, Complaints and Conduct
University of Suffolk
Waterfront Building
Neptune Quay
IPSWICH, IP4 1QJ
For more information about academic appeals and how your appeal will be processed,
please see the Academic Appeals Procedure and associated guide on MySuffolk.
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Completed 4 February 2021

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