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Disciplinary Appeal Letter - Template, Sample Form

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Dear Sir/Madam,

RE: Appeal of Disciplinary Outcome

I am writing to formally appeal the disciplinary decision made against me on ________.

The disciplinary decision I received was issued for the following reason:

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In light of the above, I would respectfully request that this disciplinary decision be reviewed and reconsidered. I would be grateful for the opportunity to discuss this matter further at an appeal meeting, where I can explain my position in more detail and present any relevant evidence in support of my appeal. I wish to be accompanied to this meeting by ________.

Yours faithfully,




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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.