Appendix 2   Sample pro forma for statement of reasons

 

This sample pro forma could be used for a statement of reasons for simple decisions.

 

1.

I, [insert full name and title], am authorised by the Chief of the Defence Force/ the Secretary [delete as appropriate] to make decisions about [insert subject] under [refer to the precise part of the rule under which you will make your decision].

 

2.

The power to make the decision is as follows: [quote the part of the rule relevant to the decision].

 

3.

Your application for [insert details of request] was received on [insert date].

 

4.

I have considered facts relevant to your request, including:

[list of relevant facts, for example, 'the medical certificate issued by your doctor, which stated that you were unfit for duty on Tuesday 1 January 2006'; or 'the fact that you did not provide a medical certificate in response to the request of the Commanding Officer'; or 'the statement made by your Commanding Officer that you were required for duty on Tuesday 1 January 2006'].

 

5.

Having considered the relevant facts and criteria, I have decided that [insert decision].

 

6.

The reasons for my decision are: [list could be based on the list of criteria for the decision].

7.

If you wish to seek a review of this decision, you may wish to contact [insert contact] to discuss an application for [insert appropriate type of review, for example, Redress of Grievance].

 

Signed

 

 

Dated

 

 

 

PACMATE                                                             AL13 (August 2006)                                               Annex 5.A Appendix 2 – 1