1. finance
2. personal finance
3. lending
4. student loans

REVIEW OF A DECISION FORM
1. STUDENT DETAILS
Family name:
Home telephone number:
First name:
Other names:
Student Signature:
Program Code:
Work/mobile telephone number:
Student Email:
Program Title:
PRIOR TO COMPLETING THIS FORM
Before completing this form, please ensure you:





Refer to the Student Review and Appeals Policy and the Student Review and Appeals Procedures It is your responsibility to
read these documents and ensure you understand the requirements for applying for review or appeal of a decision
Are submitting this form within the timeframe See the timeframes for Steps 2 and 3 below
Are following the University’s three-step process as specified in the Student Review and Appeals Procedures
Have copies of all documentation relevant to your review or appeal ready to attach to this form
Complete the checklist and sign at the bottom of this form
PURPOSE OF THIS FORM
This form is to assist you to apply for a review or appeal of a decision under the Student Review and Appeals Policy and Student
Review and Appeals Procedures. The process of applying for a review and/or appeal of a decision has three steps:
Step 1 Understanding The Decision
Prior to completing this form you must have undertaken Step 1 which involves informally contacting the decision-maker in person or in
writing to obtain an explanation of the decision, any additional information about the decision, check any details and correc t any
misunderstandings.
Step 2 Reviewing The Decision (complete sections 1 – 5 of this form)
If you have completed Step 1 and cannot resolve the matter informally, you may use this form to apply for a review of the decision to
the Step 2 Review Officer responsible for the decision. Unless specified otherwise in a University policy the timeframe for applying for a
review is within 10 working days of notification of the original decision .
Step 3 Appealing The Decision (complete all sections of this form)
If you have completed Steps 1 and 2 and are still dissatisfied with the outcome, you may use this form to appeal the outcome of the
review to the University Appeals Committee (Table 1 in the Student Review and Appeals Policy) or the Relevant Senior Officer
responsible for the decision (Tables 2 & 3 in the Student Review and Appeals Policy). Unless specified otherwise in a University policy
the timeframe for appealing a decision is within 10 working days of notification of the outcome of the review of the decision .
There are a number of decisions for which the University only affords the student an opportunity for review and not appeal . Refer to
Tables 1, 2 and 3 in the Student Review and Appeals Policy to determine whether the decision can be appealed. If not, and you are
dissatisfied with the outcome of the University’s review of the decision, you may lodge a complaint with the Queensland Ombudsman.
Support for making an application
You can seek assistance and advice about applying for a review or appeal from the student representative organisations (The Griffith
University Student Representative Council, the Gold Coast Student Guild and the Griffith University Postgraduate Students
Association), Student Administration Centres, Student Services , HDR Advocates and Griffith International.
If you request or are requested to attend meetings with a decision-maker, review officer or appeal body you may seek approval to bring
a support person. The support person must not be a legal representative or a currently practicing solicitor or barrister. The role of the
support person is to bear witness to the discussion.
LODGING INSTRUCTIONS
The Review of a Decision Form and any supporting documentation must be lodged by mail , email or in person to any campus Student
Centre. [http://www.griffith.edu.au/student-centres/contact-us]
REVIEW OF A DECISION FORM
[Page 1 of 4]
APPLICATION ACTION
Application for:
Review/appeal type:
 Review
 Academic
 Appeal
 Administrative
Review/appeal category: ____________________________________________________________________________
(See Tables 1, 2 and 3 in the Student Review and Appeals Policy)
2. DETAILS OF THE DECISION FOR REVIEW OR APPEAL
Please provide details of the decision including name/role of the decision-maker: _______________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
If the decision concerns a course please also include:
Course Code: _____________________________ Course Title: ___________________________________________________
Course Convenor: __________________________
3. DATE OF THE DECISION
Date of the decision
/
/
When did you receive the decision?
/
/
It would help us if you can attach a copy of the communication you received about the decision.
4. EXPLANATION RECEIVED ABOUT THE DECISION
State briefly the explanation you received about the decision when you completed Step 1 Understanding the Decision: ___________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
REVIEW OF A DECISION FORM
[Page 2 of 4]
5. WHY YOU THINK THE DECISION IS WRONG/NOT PROPERLY MADE
State why you think the decision is wrong or not properly made. Attach any supporting documentation: _______________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
SECTION 6 TO BE COMPLETED FOR APPEALS ONLY
6. GROUNDS FOR APPEAL
What are the grounds for your appeal?
 You believe the decision was made without a documented reason at the time of the decision or the documented reasons are
not supported under scrutiny or examination.
 You believe the decision-maker was unauthorised or did not have authority to make the decision .
 You believe the decision-maker failed to have regard to the merits of your case; failed to take into account a relevant
consideration; or took into account an irrelevant consideration .
 You believe the decision-maker failed to follow University policy and procedures where he or she was required to do so.
 You believe the decision-maker was biased or exercised his or her discretion in an unprofessional manner.
 You believe a penalty applied to you was unduly harsh.
Please briefly explain the ground(s) of appeal:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
____________________________________________________________________________________________________
REVIEW OF A DECISION FORM
[Page 3 of 4]
CHECKLIST
 I have completed all questions on this application form according to the instructions.
 I have included a copy of the decision for which I am seeking review or appeal (if I have a copy).
 I am ready to proceed with this application.
STUDENT DECLARATION
 The information in this application is true to the best of my knowledge. A student who provides false or misleading
information shall have their application for review of the decision deemed to be invalid and shall be dealt with under the
University’s Student Misconduct Policy.
Signature: ___________________________________ Print name: __________________________ Date:
/
/
OFFICE USE ONLY
TO BE COMPLETED BY RECEIVING OFFICER
Receipt of form
Form received by: ______________________________________ Date form received from student:
 Yes
Is the application made within the timeframe?
Date referred to Review Officer/Appeal Body:
/
/
/
 No
/
TO BE COMPLETED BY THE REVIEW OFFICER/APPEAL BODY
Letter of acknowledgment
Letter of ack nowledgement must be sent by (10 work ing days from date received):
 Student sent letter of acknowledgment
Date:
/
/
/
/
Review/appeal to be considered by: ________________________________________ (Name)
_______________________________ (Position) ________________________________ (Academic Group/Administrative Office)
Outcome:
 Application dismissed and original decision affirmed
 Application accepted and original decision set aside
Date of review/appeal decision:
/
/
Comments : ___________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Advice concerning outcome
Letter advising of outcome must be sent by (20 work ing days from date received):
 Student sent letter advising of outcome:
/
/
/
/
What to do w ith this form next
The completed Review of a Decision Form is an official University document and should be sent to CRDS as per the Guidelines f or using this form:
https://communities.griffith.edu.au/sites/sras/Pages/policy.aspx
Griffith University collects, stores and uses personal information for administrative purposes only. The information collected is confidential a nd w ill not
be disclosed to third parties w ithout your consent, except to meet government, legal or other regulatory requirements. For further information consult the
University’s Policy Plan at http://w w w .griffith.edu.au/about-griffith/governance/plans-publications/griffith-university-privacy-plan
REVIEW OF A DECISION FORM
[Page 4 of 4]