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  • Assessment Extension Request Form

  • Before you begin – Important information about extension requests

    Please read the MIECAT Assessment and Moderation Policy prior to completing this form. The policy outlines in further detail important information about extensions under Section 4.3.4 (pages 7-10).

    For any extension longer than 1 week, you’ll need to upload supporting documentation. This is part of our Assessment & Moderation Policy and helps us understand and respond to your circumstances fairly. Examples of appropriate documentation include:

    • A statutory declaration (if no other documentation is available)
    • A self-certifying written statement explaining your circumstances
    • A medical certificate or letter from a health professional
    • A police report
    • A death certificate or funeral notice
    • A letter from your religious leader
    • A letter from your employer
  • What subject are you requesting an extension for?*
  • What is the original due date of your assessment?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • What length of extension are you requesting?*
  • If you are requesting an extension of over 3 weeks, please enter a proposed new due date below.*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Which category best describes the reason for your extension request?*
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