This form is for Centres to complete with any Reasonable Adjustment requests.

Please read the Reasonable Adjustments and Special Consideration – Centre Guidance before completing this form.

Reasonable Adjustments Request Form

Please complete all fields and submit the form no later than ten working days before the assessment

  • Enter Cohort IDs or Learner Numbers. Please do not include learner names. Click + sign to add more rows.
  • Please provide details of supporting evidence below, this may include: • The centre’s assessment of the learner’s needs • History of provision for the learner within the centre • Medical certificate • Psychological or other professional assessment report
  • Drop files here or
    Max. file size: 50 MB.
    • We will email you confirmation of this request.
    • At Gateway Qualifications we are committed to protecting the personal information we are trusted with and respecting the privacy of those whose information we hold. We process your personal data as set out in our Privacy Notice which we encourage you to read.