Permanent Exclusion Notification

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Permanent exclusion notification form

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Schools on full Orchestra data transfer (change data)
The form needs to be completed for ALL permanent exclusions.

Schools not yet on full Orchestra data transfer (change data)
The form needs to be completed for ALL permanent exclusions.

Pupil first name *

Pupil last name *

Date of birth *

Child's address *

Is the child in care? *

Yes

Does the child have an EHCP? *

Yes

Date of last review *

Is there an EHC Needs Assessment underway?

Yes

Copy of EHCP review

Please forward a copy of the most recent EHCP and review paperwork to schoolexclusions@cornwall.gov.uk

UPN

School *

Year group

Please upload a copy of the child’s behaviour log which includes the incident that led to exclusion *

Please upload a copy of the exclusion letter sent to the parent/carer *

Email address for exclusion contact at school *

Parent/carer name *

Parent/carer contact number *

Additional contact number

Parent/carer email address *

Exclusion start date *

Please detail the incident that led to the exclusion *