RESTRICTED WHEN COMPLETED
CHILDREN, FAMILIES AND LEARNING DIRECTORATE
Notification of Child Missing from Education / Removed from School Roll
This notification should only be completed for the following reasons:
1. A child has failed to attend school, no reason has been given for absence
and a MASH referral has been completed due to concerns that the child is
at risk of significant harm.
2. A child has failed to attend school for 10 days or more and no reason has
been given for the absence.
3. The parent has elected to educate their child at home;
4. The child no longer resides within a reasonable distance of the school;
5. A child has been certified by the school’s medical officer as not being in a fit
state of health to attend school before ceasing to be of school age;
6. The child has been remanded into custody for a period of four months or more
and the child will not be returning to the school upon release.
7. The child has been permanently excluded
Once completed, please click on the “Submit Form” button to send this notification to the
Local Authority. Please email [email protected] with any
additional documents. Your Designated Safeguarding Lead (DSL) should also be
notified of this notification.
Child Details:
Child’s FORENAME:
Child’s SURNAME:
Ethnicity:
First Language:
Unique Pupil Number (UPN):
Date of Birth:
Gender:
Current Address:
Telephone Number:
GP Surgery
Parent/Carer (1) Name:
Parent/Carer (1) Address:
Parent/Carer (2) Name:
Parent/Carer (2) Address:
Please Tick to indicate which of the following apply:
Looked after Child
Child in Need (CIN)
Refugee/Asylum
Gypsy/Roma Traveller
Seeker
Child Protection Plan
SEN Involvment
Safety Factors - Please note below any risks posed by the family to professionals
Referrer Details:
Name of Agency/School:
Name of Referrer:
Referrer Position/Job Title:
Referrer Email Address:
Referrer Telephone Number:
Referral Date:
If Child is Missing From Education (Notification Reasons 1 and 2) please provide
information below regarding attempts to make contact with the family within the
last 10 days:
SCHOOL CHECK:
DATE(S) OUTCOME
COMPLETED
BY
Phone call – parent
Letter sent
Home visit made
Sibling schools contacted
Phone call - Emergency Contacts
Contact with other agencies
involved with family
Any other additional information
relevant to this referral:
Where possible please submit a photo of the child and copies of identification
available, e.g. passport, birth certificate via
[email protected]
Please Tick Removal from Roll Reason (For Notification Reasons 3 to 7) and
complete required actions if this applies:
Removal Reason
The Parent has elected to
educate their child at home
The Child no longer resides
within a reasonable distance
of the school.
Required Actions:
1. Submit this form.
2. Send a copy of the written notification received from
the parent to
[email protected]
1. Submit this form.
2. Send a copy of any evidence received to
[email protected]
A child has been certified by
the school’s medical officer
as not being in a fit state of
health to attend school before
ceasing to be of school age;
1. Submit this form.
2. Email copies of written report from the medical officer
and copies of correspondence between school and
parent to
[email protected]
The child has been remanded
into custody for a period of
four months or more and the
child will not be returning to
the school upon release.
1. Submit this form.
2. Email copies of relevant correspondence between
Youth Offending Service, School and Parents to
[email protected]
The child has been
permanently excluded
1. Notify [email protected] within 24 hours of
the permanent exclusion.
Schools/Academies will be informed by the Local Authority once the child may be
taken off roll. Schools/Academies removing Children from roll without instruction
are potentially committing a criminal offence – Section 434 Education Act 1996.
Submit