Review request form

Your Application for a decision to be internally reviewed

Having read the information about how to request a review of a decision please fill out the first section with your details followed by the section(s) on which your application for a review is based.

* indicates a required field.

Your details

RCVS Case reference *

Name *

Telephone number *

Email address *

Status of applicant *

Complainant
Respondent Vet/Nurse

Grounds for application *

Significant Error
New information come to light

Date of Application *

Details of application

Please focus on what you say is the error or new information. Please provide your response to all the questions in the relevant section – any questions which remain unanswered will result in the application being rejected. You can upload any further information you wish to provide to support your application in the next section.

Significant Error

1. Please explain which parts of the decision you say would be considered unreasonable.

2. Please explain the way in which you say that the error was significant to the decision that was made.

New information

3. Please explain what the new information is

4. Please explain how the new information would have had a significant impact on the decision

5. What was the date that this information was first known to you?

6. As you consider the new information to be significant please explain why you did not disclose the information to our investigation?

Further supporting information

Please upload any further information you wish to provide to support your application for a review.

Verification

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Please click the box to indicate you are a human rather than an automated system completing this form.

Last step

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Review request form

Your Application for a decision to be internally reviewed

Significant Error