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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
  • 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
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