Reasonable Adjustment Application Form

This form should be completed by candidates wishing to apply for a reasonable adjustment during the assessment of our qualifications. In cases where the candidate is unable to submit the application themselves, the Approved Training Centre/Provider (ATC/P) Co-ordinator or Trainer Assessor (TA) may submit the application on their behalf.

All reasonable adjustments will be applied in line with RLSS UK Qualifications policies. A copy of the application outcomes may be sent to the ATC/P Co-ordinator or TA for their records, who will be required to retain this with course/assessment records for audit and regulatory purposes.

Please provide as much information as possible to enable the compliance team to make a valid and reasonable judgment of individual circumstances and to avoid any delays.

Part 1 Candidate Details

Candidate Name

Candidate Email (required)

Candidate Date of Birth (required)

Candidate Society Number

Candidate Telephone Number

Part 1A Applicant details (if different to candidate details)

Applicant Name

Applicant Email Address

Applicant Telephone Number

Part 2 Qualification

Qualification

Part 3 Details of the reasonable adjustment

Reason for the reasonable adjustment request (provide as much detail as possible). For example: 50% extra time and the use of a translating dictionary for theory assessment if English is not your first language. (required)

Summary of evidence to support your application (e.g., Statement from education setting) (required)

By submitting this form I confirm that

1. The contents of this form reflect accurate details of the special conditions to be made
2. I have included all relevant evidence and times frames to be considered
3. I agree to the RLSS UK privacy policy (www.rlss.org.uk/privacy-policy)

To process this form, we need to collect and process personal data in line with UK GDPR and the data Protection Act 2018. We request the candidate’s name, date of birth, and contact details to identify who the reasonable adjustment is for and to communicate regarding the application. This data is processed under UK GDPR Article 6(1)(f), where we have legitimate interests in collecting and processing this data. We also request medical details and supporting evidence to carry out a thorough and valid assessment. This information is processed under UK GDPR Article 6(1)(c), as we have a legal obligation under equality legislation and regulatory requirements to ensure appropriate reasonable adjustments are provided. Additionally, medical data is processed under UK GDPR Article 9(2)(g), on the basis of Substantial Public Interest, in line with Schedule 1, Paragraph 8 of the DPA18, to promote and uphold equality of opportunity and fair treatment. We only collect the personal data necessary for this purpose and use it solely for the agreed objectives. Data is retained for six years, after which it will be permanently deleted from RLSS UK systems. If you have any questions, please contact [email protected]. For further information, please refer to our Privacy Policy.

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