Request for Reconsideration form - University of Victoria

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Contact information

Name:

Student number:

Building:

Room number:

Reconsideration information

Please identify the outcome you are requesting be reconsidered:

Select which of the following ground(s) is/are applicable to your request for reconsideration:

A lack of procedural fairness, bias, or unfair treatment in the process Relevant new information has emerged, that was not available at the time of the original decision The severity of the decision delivered is patently unfair

3. Provide detailed reasons for the basis of your request for reconsideration. You are welcome to include the circumstance relevant to your ground(s) for request for reconsideration: Please note, disagreeing with an outcome is not sufficient grounds for a request for reconsideration.

Describe your desired outcome as an alternative for the original decision.

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