Formal Complaint Form By submitting this form, I understand that this information will be stored securely and my data will be used to process my case and for no other purpose. I understand that the University may use external service providers based in countries or jurisdictions outside of the UK and that the University will put appropriate controls in place to ensure my information is protected. For more details on how the data will be handled and protected, please refer to the University’s Privacy Policy. This form should be used to make a Formal Complaint about the delivery and quality of service received, about the delivery of teaching / supervisory provision or any other matters relating to a programme of study. Before completing this form, you should have contacted the relevant Department for an Early Resolution and received a written response. Please ensure that you complete all sections of the form, particularly where you are asked for further explanation or detail. If you do not do this, your complaint form may not be processed. If this is the case you will be contacted by the student case work team and you may need to begin the process again. The Head of School / Department may delegate to an appropriate named individual. Please enter your Student ID Number: Forename / Given Name: Surname / Family Name: Date of Birth: University Email: Personal Email: Date of Early Resolution Response : In relation to your Early Resolution, which School(s) or Department(s) does the issue relate to? Please select Admissions Assessments Design and Production (materials) DIS Eligibilty/Exemptions Elite/VLE Finance Former Records/Certification Graduation IT Service Desk Multiple Professional Development Courses Programme Management (Law school) Programme Management (Science school) Programme Management (Business school) SICA / CAS issues ULET SJA Student Conduct/Casework Student Information Timetabling Wellbeing services You should submit your complaint within three months of the issue you wish to complain about, and within 14 days of the date of the School or Department's written response to your Early Resolution. Are you submitting the complaint within the deadline? Yes No (but I have approval for a deadline extension) Date issue / issues occurred (Formal Complaint): Declaration: The evidence I provide must be genuine, accurate and verifiable. Providing false evidence can result in the termination of my case, and disciplinary action including expulsion from the University. All evidence must be supplied at the point of submission of this request. The University will not seek evidence on my behalf. Evidence should be in English, or a notarised translation provided. Evidence must be relevant to me and my circumstances. Where there are concerns about the legitimacy of the evidence provided, the University may seek to verify the document with the individual or organisation who produced it. I confirm that I am the student cited in this form, or that I have the consent of the student or students cited in this form to act on their behalf. I understand that if I am acting on behalf of a student or students, the cited student or students will be contacted to confirm their consent. I confirm that I have read and understood the terms set out above Yes Is this a group complaint? Yes No Where it is clear that the issues raised in the complaint have affected a number of students, the University will normally allow a group complaint to be submitted. In order to effectively manage the progress of the case, the group will be expected to nominate one student to act as a representative for the group. The University will normally deal with the nominated representative, and the nominated representative will be expected to liaise with the other members of the group. Use this section to add details for all members of the group. Please ensure full name, student ID number and email addresses for all member of the group complaint are included. Describe your complaint in full, providing a timeline of key events. Be as concise as possible and only include information, dates and events relevant to the complaint. Please select the reason for your Formal Complaint: New Evidence Unsatisfactory Outcome Describe the new evidence you wish to present, including timelines associated. Be as concise as possible ensuring only information, dates and events relevant to the complaint are included: Explain why the Early Resolution outcome was unsatisfactory. Be as concise as possible ensuring only information, dates and events relevant to the complaint are included: Are you providing evidence that you will attach with this form? Yes No All evidence provided should be genuine, accurate and verifiable. Providing false evidence can result in the termination of the case, and disciplinary action including expulsion from the University. All evidence must be supplied at the point of submission of this request. The University will not seek evidence on your behalf. Evidence should be in English, or a notarised translation provided. Evidence must be relevant to you and your circumstances. Where there are concerns about the legitimacy of the evidence provided, the University may seek to verify the document with the individual or organisation who produced it. NOTE: Please upload your evidence on the next screen.a Each item of evidence should be titled and numbered correctly to correlate with your statement. If you have more than five files to submit, contact [email protected]. Please upload a file I understand that the information and evidence related to this case will be shared with the applicable decision makers and respondents. I confirm that the information and evidence I have provided is genuine, accurate and verifiable. I understand that providing false evidence can result in the termination of my case, and disciplinary action including expulsion from the University. Submit Previous step Step 1/ 6 Next step
