Immigration Refusal Assessment Form
Evaluate and document key aspects of an immigration refusal case.
Case Reference Number
*
Date of Refusal Decision
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Immigration Application
*
Please Select
Work Permit
Study Permit
Permanent Residency
Family Sponsorship
Visitor Visa
Other
Main Reason(s) for Refusal
*
Insufficient Evidence
Inadmissibility
Eligibility Not Met
Incomplete Application
Other
Clarity of Refusal Letter
*
1
2
3
4
5
Strength of Supporting Evidence Provided
*
Very Weak
1
2
3
4
Very Strong
5
1 is Very Weak, 5 is Very Strong
Likelihood of Successful Appeal or Reapplication
*
Very Unlikely
1
2
3
4
Very Likely
5
1 is Very Unlikely, 5 is Very Likely
Assessment Matrix
Rows
Poor
Fair
Good
Excellent
Application Completeness
1
2
3
4
Eligibility Criteria Addressed
5
6
7
8
Refusal Reason Justification
9
10
11
12
Additional Comments or Observations
Submit Assessment
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