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Worcestershire County Council
Absence And Irregular Attendance Form
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Schools have a duty to notify the Local Authority of cases of irregular attendance and continuous absence.
This form should be used to notify the Local Authority of the following authorised or unauthorised absences:
10 days continuous absence (including if the child is likely to be absent for more than 15 days due to illness/injury)
Irregular attendance or regular absence where attendance is not improving despite ongoing school intervention. Please do not notify us of all Persistent Absences.
Update to any previous notification - this should be done at regular intervals (suitable to that case), or if new information has been received. Please do not just send updates every ten days.
Where a Part Time Timetable or Pastoral Support Plan has failed and attendance has not improved or has deteriorated further (previous Part-Time Timetable notifications should have been submitted).
Where a child is marked present but is not receiving a suitable education, for instance if a child's anxiety is preventing access to a classroom
Please note, this is a notification only and not a referral.
Upon receiving this form, the Local Authority
may
contact the school to discuss the situation or suggest further action regarding the pupil’s absence.
Forms will be prioritised on submission date. Schools are expected to continue to provide education, support and safeguarding responsibilities.
The Local Authority expects schools to have met their duty to make reasonable enquiries to establish the whereabouts of any child. See
Statutory Guidance Children Missing Education 2016
for further information. Schools are also expected to be aware of and be applying the recent DFE Guidance on working together to improve school attendance. See
Attendance Guidance
for further information.
If there is reason to believe a child is in immediate danger or at risk of harm, please contact Children's Social Care immediately on
01905 822666
(or if out of hours
01905 768020
), and call
999
and report the information to the Police if appropriate.
1
Submission Details
Submitter First Name
Submitter Last Name
Submitting on behalf of
Email Address
Telephone Number
School Name
School Postcode
2
Details of Child
First Name
Middle Name
Last Name
Child Date Of Birth
Day
--- Please Select ---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
--- Please Select ---
January
February
March
April
May
June
July
August
September
October
November
December
Year
--- Please Select ---
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Gender
--- Please Select ---
Male
Female
Other
UPN Number
Child looked after status (is/has the child been looked after by a local authority either by a care order, placement order or accommodated for over 24 hours)
--- Please Select ---
Child currently looked after
Child previously looked after
Child not looked after
Not known
EHCP status
--- Please Select ---
EHCP / Draft EHCP
Assessment (0-16 weeks)
Assessment (16 weeks plus)
No EHCP/Not Known
Lives with Parent or Carer at the same address
Yes
No
Has the child moved/is moving house?
Yes
No
3
Additional Information
Please select the type of absence
Absent but whereabouts known
Absent but whereabouts unknown (possible CME)
School Contact
Absence Code Used
---Please select primary absence reason---
C - Other Authorised Circumstances
E - Excluded
G - Family holiday (not agreed)
H - Family holiday (agreed)
I - Illness
N - No reason provided
O - Other unauthorised absence
R - Religious observance
T - Traveller absence
U - Late
X - Covid Related Absence
Y - Unable to attend due to exceptional circumstances
/\ - Present but not accessing suitable education
Date of Tenth (or most recent) day of absence
Is this an update for a previous Absence and Irregular Attendance notification?
Yes
No
Current Attendance %
Reasons for absence (please specify needs/reasons in further information box below)
Autism (ASD) Diagnosis/Accepted on Umbrella Pathway
Anxiety
Other Mental Health
Physical Health
Other
If school would like this notification to be considered by the CCAS panel, please tick this box
By ticking this box, school confirm that they feel they have made all reasonable adjustments, accessed all support available to them and because the child is still unable to access a suitable education this notification could potentially meet the local authorities s19 duties (to make arrangements for the provision of suitable education at school or otherwise than at school for those children of compulsory school age who, by reason of illness, exclusion from school or otherwise, may not for any period receive suitable education unless such arrangements are made for them).
School are expected to provide reasons and attach supporting evidence as to why they feel this notification should be considered by CCAS panel – including (but not limited to) an up to date IHP, EHA, PSP, Medical Evidence, Other Professionals Reports etc. Please do not flag all absence notifications and be aware that use of this tick box does not guarantee this notification will be discussed at CCAS panel (this remains the decision of the LA)
Please add any further information (including further detail on the reasons for absence and what has been done in response)
4
Supporting Documents
Uploads are not mandatory for this form but if Attendance Codes B, C, D, or I are selected, suggested uploads to attach are Pastoral Support Plans, Individual Healthcare Plans (IHPs), Review of Alternative Provision. If you would like to upload any other supporting documentation you can do so below.
Files must be smaller than 20MB.
File Name
No files uploaded...
Form Complete
The Absence and Irregular Attendance form has been submitted successfully. Your reference number is #0
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