Appeal form

Initials:

First name: *

Middle name:

Last name: *

Category: *

Faculty / Service: *

Education:

Student number: *

If you do not have a student account, please fill in another email address.

Student email address UU: *

Repeat email address: *

Telephone number:

Which decision do you disagree with? (maximum 250 characters) *

Who made the decision? (maximum 250 characters) *

N.B.: Be aware of that this form will be shared with the person or service to which it relates to.

Please explain thoroughly why you disagree (For example, if it concerns a grade please state for each question why you feel that you are entitled to more points). *

Which decision should have been taken according to you? (maximum 250 characters) *

Have you already tried discussing your appeal?
If so, with whom and what was the outcome? (maximum 250 characters) *

Date of decision:

Please indicate whether you have submitted your appeal within the stipulated period, being 6 weeks of sending the decision or after the grade of your exam was published in Osiris. If your submission is late, please state the reason why. (maximaal 250 tekens) *

Attachment (decision):

Add a file concerning the appeal.
After submitting the appeal, more documents can be submitted through the portal.

Date: *

More information about how Utrecht University handles your personal data can be found at www.uu.nl/privacy.

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