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Appeal Form

The information on this page is designed to help you understand the information being asked for under each point of the Graduate Student Appeals form

For assistance with compiling your appeal package, you can consult FGPS or support offices such as the Centre for Student Equity, Diversity and Inclusion (CSEDI) or the Office of Human Rights and Conflict Management.

How to Complete the Appeal Form

Submitting More Than One Request

You can sumbit more than one request at once by combining your requests on one appeal form. Under point four, number your requests using the following example:

  1. I request to be granted a change in registration status...
  2. I also request a one term extension to degree time limits...

Supporting Documentation

Each student appeal must contain:

  • the completed and signed appeals form
  • your Laurier email address (to which the decision will be communicated)
  • any supporting documentation as outlined in the appeals form

If you are a doctoral student, you must submit a copy of your most recent annual progress report (including all signatures). Appeals concerning progress and degree time limits will not be considered without the progress report being available.

Examples of supporting documentation are provided on the Types of Appeals page. If you are still not sure what type of documentation you should provide after reviewing the information under your type of appeal, contact

Medical Documentation

Situations Based on Your Own Medical Situation

For situations where a petition is based on your own medical situation, medical documentation is normally required.

Where applicable, you must provide a letter or a supporting medical documentation form completed by your healthcare provider and it must pertain to the timeframe under appeal. Dates are particularly important, for example indicating onset of condition or expected time period of recovery and date of return to program (as applicable).

In some cases, it can also be helpful for the committee to receive and consider a summary of academic supports from the ALC, if you are registered with this service. Your ALC consultant can provide you with a Record of Information letter, which typically gives a brief summary of what supports are available to you without going into detail about your personal diagnosis.

Situations Based on a Family Member

Should the basis of the petition be on a medical/health condition of a family member (that is, not you the student), a diagnosis or specific medical information will not be required in the case for a third party.

However, you will be required to provide supporting verification regarding the third party medical/health condition in the form of a document from counseling services, a doctor or the Accessible Learning Centre (ALC).

Signatures on the Appeal Form

The signatures required on the form should be applicable to your appeal and circumstances, such as: 

  • Your research supervisor/co-supervisors.
  • Course instructor(s).
  • Field placement/practicum supervisor.
  • Graduate program coordinator.