Forms

grt_pupil_departure_local_authority_notification_record

Record tailored communication with a Gypsy, Roma or Traveller family, assessment of communication needs, pupil departure information, destination-school checks, local-authority notification where no destination is identified, and continuity-of-education follow-up.

Form
CalmComplianceForm template

grt_pupil_departure_local_authority_notification_record

Version
v1
Updated
7 October 2026
Reviewed
7 October 2026
Audience
Maintained and academy primary and secondary schools in England, including designated staff responsible for attendance, admissions, safeguarding, children missing education or pupil transitions.
Jurisdiction
england

Blank fields · read-only preview

Gypsy, Roma or Traveller pupil departure and education-continuity record

When to use this record

Use this record when a Gypsy, Roma or Traveller pupil is leaving or has left the school, especially at primary-to-secondary transition. Tailor communication to the individual family’s circumstances. Complete the local-authority notification and follow-up sections only where no destination school has been identified, or where the destination remains unconfirmed.


Pupil and school details

Pupil name

Required

Enter the pupil’s name as recorded by the school.

Written response

Pupil identifier

Required

Use the school’s existing pupil identifier or admission number. Do not create a new identifier here.

Written response

School name

Required

Enter the name of the maintained or academy school completing this record.

Written response

Year group at departure

Required

Record the pupil’s year group when they left or were expected to leave.

Written response

Context for the departure

Required

Select all circumstances that apply.

Choose all that apply

  • Departure during the school year
  • Primary-to-secondary transition
  • Planned family move or travel
  • Attendance or absence concern
  • Other known context
  • Other

If other, please specify

Date the pupil left or was expected to start at the next setting

Required

Enter the actual leaving date where known. If the pupil has not yet left, enter the planned date.

Day
Month
Year

Date this record was completed

Required

Enter the date on which this record is completed.

Day
Month
Year

Staff member completing the record

Required

Record the name and role of the staff member responsible for this entry.

Written response

Family communication and individual needs

Communication needs and relevant family circumstances

Required

Record the relevant circumstances identified for this family and how communication was tailored. Include any relevant advice from the local authority or Traveller Education Service where obtained.

Written response

Communication methods used or offered

Required

Select all methods used or offered to communicate with the family.

Choose all that apply

  • In-person discussion
  • Telephone call
  • Text message
  • Email
  • Written letter
  • Trusted intermediary or family contact
  • Other method
  • Other

If other, please specify

Date of most recent communication attempt

Required

Enter the date of the most recent successful contact or attempted contact.

Day
Month
Year

Outcome of communication

Required

Record what was discussed, whether contact was successful, and any agreed next steps.

Written response

Leaving information and destination checks

Reason for leaving, if known

Required

Record the reason provided by the family or otherwise known. If the reason is not known, state that.

Written response

Destination-school status

Required

Select the status established after checking with the family and, where appropriate, the proposed destination school or relevant authority.

Choose one

  • Destination school confirmed
  • Family reported a destination but it is not yet confirmed
  • No destination school identified
  • Family could not be reached
  • Destination information not applicable or not known

Destination school name

Complete if a destination school has been identified or reported. If no destination has been identified, leave this blank.

Written response

Destination school location or local authority area

Complete if known. Record the town, county or local authority area rather than an unverified full address.

Written response

Destination checks undertaken

Required

Select all checks completed. Complete where a destination was reported or where clarification was needed.

Choose all that apply

  • Asked the family about the destination
  • Contacted the proposed destination school
  • Contacted the relevant local authority
  • Sought advice from the Traveller Education Service
  • No further check was possible
  • Other

If other, please specify

Destination-check findings

Required

Summarise the checks, dates, contacts and outcome. If no destination is identified, state what was checked and why the destination remains unknown.

Written response

No destination has been identified after the checks recorded above

Select this only where the destination-school status is no destination identified, family not reached, or destination information is not known or not applicable. If a destination is confirmed, do not select it.

  • Tick when complete

Local-authority notification

Local-authority notification status

Complete this section where no destination school has been identified. Follow the applicable local-authority process. Do not mark a notification as sent unless it has actually been submitted.

Choose one

  • Not required because a destination school is confirmed
  • Notification prepared but not yet submitted
  • Notification submitted to the local authority
  • Awaiting advice on the appropriate local-authority contact or process
  • Unable to submit; reason recorded below

Local-authority contact or service

Complete where a notification was prepared, submitted, or advice was sought. Record the local authority, CME officer, Traveller Education Service or other relevant service, if known.

Written response

Date of local-authority notification or advice request

Complete only if a notification was submitted, prepared, or advice was requested.

Day
Month
Year

Local-authority reference or submission confirmation

Complete if provided. Do not enter confidential information that is not needed for this record.

Written response

Local-authority notification notes

Complete where no destination has been identified. Record the information shared, any advice received, and any reason a notification could not yet be submitted.

Written response

Continuity-of-education follow-up

Continuity actions considered or agreed

Complete where appropriate to the family’s circumstances and available local-authority or Traveller Education Service advice.

Choose all that apply

  • Contact with or handover to the destination school
  • Advice about possible dual-registration arrangements
  • Electronic or distance-learning package discussed or arranged where available
  • Traveller Education Service advice sought or followed
  • Local-authority follow-up requested
  • No further action identified at this stage
  • Other

If other, please specify

Planned follow-up date

Complete where the destination is unconfirmed or no destination has been identified. Leave blank where no follow-up is required.

Day
Month
Year

Staff member responsible for follow-up

Complete where follow-up is planned.

Written response

Follow-up notes and outcome

Record follow-up attempts, information received, and any further action needed. Complete where follow-up has occurred or is planned.

Written response

CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
7 October 2026
Reviewed
7 October 2026

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grt_pupil_departure_local_authority_notification_record - CalmCompliance