CARRT Appeal Request Form

  • Directions

  • Please provide the information requested below. You will have the option to attach additional/supporting files. This form can be saved and accessed at a later time, if necessary. Saved forms remain open for thirty (30) days.
    • Provide all identification information so that we may contact you.
    • Answer all questions to the best of your ability.
    • CARRT meets twice per month and it may take up to 30 days before you will be contacted regarding your request.
    When complete, this form will be submitted to the CARRT Committee.
  • General Information

  • Hidden
  • NOTE: You will be notified via your EWU email. Please be sure to indicate your EWU email address.
  • Request

  • Drop files here or
    Max. file size: 63 MB.
    • MM slash DD slash YYYY