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Penalty Notice referral form

You can also read more about penalty notices, what they are and why they're issued.

  • Current Before you start
  • Penalty Notice referral checklist
  • Child's school or academy
  • Pupil details
  • Sibling group details
  • Referral details
  • Parent or carer details
  • Penalty Notice request
  • Complete

Before you start

Before you begin, please be aware you can't save and return to the form. As such, please make sure you have the following information to hand:

  • Child's details
  • Their siblings details if you're also making a referral for them
  • Child's school or academy details
  • Parent or carer details
  • Penalty Notice request details

You may also need to upload the following:

  • Attendance certificate for current year (required)
  • Attendance certificate for previous year (optional)
  • Parent request for term time leave (optional)
  • Parent notification of Penalty Notice referral (optional)
  • Additional supporting information, Penalty Notice for unauthorised term time leave (optional)
  • Additional supporting information, Penalty Notice for persistent absenteeism (optional)

A copy of your submission will be emailed to you once you submit the form.

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