PREP Notice of Appeal

Refer to the PREP Reconsideration and Appeal Policy for the process for PREP students seeking appeal of a decision made by CPLED.

In the Matter of the Appellant:*
Insert name
CPLED Student ID/Account Number*
To locate your CPLED Student ID/Account Number, please follow these steps: 1. Log into the CPLED Student Portal. 2. Navigate to your tuition fee invoice, where you will find your CPLED Student ID/Account Number listed.
In the Matter of a Decision of:*
Insert Chief Executive Officer (CEO) or designate name
Dated:*
Insert date of CEO or designate decision
MM slash DD slash YYYY
Counsel for Appellant
(if applicable)
Address of Counsel for Appellant
(if applicable)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number of Counsel for Appellant
(if applicable)
Email Address of Counsel for Appellant
(if applicable)
Grounds for Appeal*
Set out the basis for your appeal. If additional space is required, attach extra pages. Appeals are limited only to the materials before the CEO when the reconsideration decision was made, unless the fresh materials meet the criteria outlined in the PREP Reconsideration and Appeal Policy. Indicate whether your grounds relate to new information that was not previously provided to the Chief Executive Officer. If so, please provide a description of the new information.
Grounds for Appeal extra pages
(if applicable)
Max. file size: 200 MB.
Are you filing supporting materials?*
- Yes
- No
What result are you seeking from the Appeal Panel?*
Did you submit payment of the appeal fee?*
If yes, attach a copy of your proof of payment.
- Yes
- No
Proof of Payment*
Max. file size: 150 MB.
Address of Appellant*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number of Appellant*
Email Address of Appellant*
Signature*
I confirm that I have read and understood the requirements of this form and any relevant CPLED policies. I affirm that all the information and documentation provided in support of this application are accurate and true. I understand that CPLED may request further information and documentation from me in support of my application. For the purposes of verifying authenticity, I authorize CPLED to contact anyone who provided documentation submitted in support of this application, including but not limited to medical documentation.
First & Last Name