Extension Request Form

Extension Request Form

You can request a ‘7 days self-certified’ extension, or a longer, certified, extension.

Please state the extension you require below. If you are not self-certifying, please also include the reason for the extension – you will be required to provide supporting evidence.

Extensions will normally only be considered for the actual amount of time lost. Extensions may delay the marking of your assignments.

If you are an MSt student/apprentice, you must also inform your College Tutor if you submit a Self-Certification Form.

If you are an Undergraduate or Postgraduate student, you must also inform your Module Lead/Course Director if you submit a Self-Certification Form.

Please contact the course administration team if you have any questions about this process.

See also the guidance in the relevant student handbook for your course.

First Name

Last Name

I am currently studying on a

Course Name

Unit/Module

Current assignment deadline on VLE

If your original submission deadline has already passed, you will not be able to request an extension via this form. Please contact your course administration team for information on the options available to you at this stage.

Length of extension requested

1 week (self certified)2 weeks3 weeks

What is your reason for requesting this extension?

Short-term illness of self or dependantsUnexpected heavy work demandsLong term illness of self or dependantsSevere personal difficultiesOther (please state)N/A (not required for one week self-certified extensions)

If other, what is the reason for requesting this extension?

Please describe in more detail the reason for your request

If you require an extension for more than one week you will need to provide evidence to support your request, for example a doctor’s note. Please email your evidence to extensions@ice.cam.ac.uk immediately after submitting this form, in order for your request to be considered.

All documentation will be treated confidentially within ICE and will only be viewed by those necessary in the decision-making process.

What will you be able to submit as evidence (if applicable)?

If no evidence required, please state N/A in this field

College Tutor Notified?

Name of College Tutor

Date College Tutor Notified

Module Lead/Course Director Notified?

Name of Module Lead/Course Director

Date Module Lead/Course Director Notified

Contact Information