Form SY033 - Review of Decision Instructions
This form contains 52 fields organized into 13 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Authorisation Consent | ||
| No | Checkbox |
Check this box if you do not want to authorise a person or organisation to make enquiries or updates, act, or get payments on your behalf.
|
| Yes | Checkbox |
Check this box if you want to authorise a person or organisation to make enquiries or updates, act, or get payments on your behalf.
|
| Contact Details | ||
| Home Phone Number | Text |
Please provide your home phone number, including the area code.
|
| Mobile Phone Number | Text |
Please provide your mobile phone number.
|
| Work Phone Number | Text |
Please provide your work phone number, including the area code.
|
| Alternative Phone Number | Text |
Please provide an alternative phone number, including the area code.
|
| Email Address | Text |
Please provide your email address.
|
| Date of Decision | ||
| Decision Day | Number |
Please enter the day of the decision as a two-digit number.
|
| Decision Month | Number |
Please enter the month of the decision as a two-digit number.
|
| Decision Year | Number |
Please enter the year of the decision as a four-digit number.
|
| Decision for Review | ||
| ABSTUDY/AIC eligibility | Checkbox |
Check this box if the decision you want explained or formally reviewed is related to ABSTUDY/AIC eligibility.
|
| Overpayment/debt recovery | Checkbox |
Check this box if the decision you want explained or formally reviewed is related to overpayment or debt recovery.
|
| Other | Checkbox |
Check this box if the decision you want explained or formally reviewed is not ABSTUDY/AIC eligibility or overpayment/debt recovery, and then provide details in the space below.
|
| Other Decision Type | Text |
Please specify the type of decision you want explained or formally reviewed if it is not ABSTUDY/AIC eligibility or Overpayment/debt recovery. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Decision Details | Text |
Provide a detailed explanation about the decision you want to have reviewed or formally explained. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Declaration | ||
| I have read, understood and agree to the above | Checkbox |
Check this box to confirm that you have read, understood, and agree to the declaration, acknowledging that the information provided is complete and correct and understanding that giving false or misleading information is a serious offence.
|
| Declaration Day | Text |
Enter the day the declaration is being made.
|
| Declaration Month | Text |
Enter the month the declaration is being made.
|
| Declaration Year | Text |
Enter the year the declaration is being made.
|
| Signature | Text |
Provide your signature if returning the form by post or in person.
|
| General | ||
| Instructions | Button | |
| Instructions | Button | |
| Q6.Address.0 | Text | |
| Q6.Address.1 | Text | |
| Q12 | Text | |
| Clear | Button | |
| Permanent Address | ||
| Address Line 1 | Text |
Please enter the first line of your permanent street address.
|
| Address Line 2 | Text |
Please enter the second line of your permanent street address.
|
| Suburb/Town | Text |
Please enter the suburb, town, or city of your permanent address.
|
| Postcode | Text |
Please enter the postcode of your permanent address.
|
| Postal Address | ||
| Postal Address Line 1 | Text |
Enter the first line of the postal address.
|
| Suburb/Town/City | Text |
Enter the suburb, town, or city for the postal address.
|
| Postcode | Number |
Enter the postcode for the postal address.
|
| Reason for Review | ||
| Reason for Formal Review | Text |
Provide a detailed explanation of why you are requesting an explanation or applying for a formal review.
|
| Request Type | ||
| An explanation of decision | Checkbox |
Check this box if you are requesting an explanation of a decision.
|
| A formal review of decision | Checkbox |
Check this box if you are requesting a formal review of a decision.
|
| Student's Customer Reference Number | ||
| Student Customer Reference Number Part 1 | Text |
Please enter the first segment of the student's customer reference number.
|
| Student Customer Reference Number Part 2 | Text |
Please enter the second segment of the student's customer reference number.
|
| Student Customer Reference Number Part 3 | Text |
Please enter the third segment of the student's customer reference number.
|
| Student Customer Reference Number Part 4 | Text |
Please enter the fourth segment of the student's customer reference number.
|
| Student's Date of Birth | ||
| Day of Birth | Text |
Enter the day of the student's birth.
|
| Month of Birth | Text |
Enter the month of the student's birth.
|
| Year of Birth | Text |
Enter the year of the student's birth.
|
| Student's Full Name | ||
| Mr | Checkbox |
Check this box if the student's title is Mr.
|
| Mrs | Checkbox |
Check this box if the student's title is Mrs.
|
| Miss | Checkbox |
Check this box if the student's title is Miss.
|
| Ms | Checkbox |
Check this box if the student's title is Ms.
|
| Mx | Checkbox |
Check this box if the student's title is Mx.
|
| Other Title | Text |
Provide a custom title if 'Mr', 'Mrs', 'Miss', 'Ms', or 'Mx' do not apply. Fill only if 'Mx' is 'Yes'.
Depends on:
Mx
|
| Family Name | Text |
Provide the student's family name or surname.
|
| First Given Name | Text |
Provide the student's first given name.
|
| Second Given Name | Text |
Provide the student's second given name, if applicable.
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