Forms

School Long-Term Pupil Sickness Return Record

Record the basis for a sickness return for an eligible pupil and document the local-authority submission and available submission evidence.

Form
CalmComplianceForm template

School Long-Term Pupil Sickness Return Record

Version
v1
Updated
1 October 2026
Audience
Maintained and academy schools in England, including attendance, safeguarding and administrative staff responsible for pupil sickness returns.
Jurisdiction
england

Blank fields · read-only preview

Applicability

Use this record only where the pupil is of compulsory school age, has been recorded with attendance code I, and the school has reasonable grounds to believe the pupil will miss 15 school days consecutively or cumulatively because of sickness. Only one sickness return is required for a continuous period of sickness in the school year.

The sickness-return conditions apply to this record

Required

Confirm that the pupil is of compulsory school age, has been recorded with code I, and is reasonably expected to miss 15 school days consecutively or cumulatively because of sickness.

  • Tick when complete

School and record details

School name

Required

Enter the name of the maintained or academy school.

Written response

School address

Required

Enter the school's postal address.

Written response

School record reference

Enter the school's internal reference for this record, if used.

Written response

School year

Required

Enter the school year in which the continuous sickness period occurs, for example 2026/27.

YYYY/YY

Date this record was created

Required

Enter the date on which this record is completed.

Day
Month
Year

Pupil details

Pupil full name

Required

Enter the pupil's full legal name.

Written response

Pupil home address

Required

Enter the pupil's current home address for the return.

Written response

Pupil admission number

Enter the school's admission number or other internal pupil identifier.

Written response

Pupil date of birth

Enter the pupil's date of birth if required by the local authority's return process.

Day
Month
Year

Sickness period and assessment basis

Attendance code I has been recorded for the relevant absence

Required

Confirm the attendance record includes code I for illness.

  • Tick when complete

Start date of continuous sickness period

Required

Enter the first date of the continuous sickness period covered by this record.

Day
Month
Year

Expected return date, if known

Enter the expected return date if one has been identified. Leave blank if it is not known.

Day
Month
Year

Basis on which 15 school days are expected to be missed

Required

Select whether the expected absence is consecutive, cumulative, or both within the relevant sickness assessment.

Choose one

  • 15 school days consecutively
  • 15 school days cumulatively
  • Both consecutive and cumulative periods are relevant

Expected school days missed because of sickness

Required

Enter the number of school days the pupil is reasonably expected to miss because of sickness. The return condition is 15 or more days.

Number

Minimum: 15

Reasonable grounds for the expectation

Required

Summarise the information available to the school that supports the expectation that the pupil will miss 15 school days consecutively or cumulatively because of sickness. Do not include unnecessary clinical detail.

Written response

This is the only sickness return recorded for this continuous sickness period in the school year

Required

Confirm after checking the school's records. If another return already exists for the same continuous sickness period, do not create a duplicate return.

  • Tick when complete

Local-authority submission

Local authority name

Required

Enter the local authority to which the return is to be provided.

Written response

Submission route

Required

Select the route used or intended for providing the return to the local authority.

Choose one

  • Local-authority online portal
  • Secure email
  • Local-authority form or reporting system
  • Other authorised local-authority route

Submission status

Required

Select the current status. Complete the submission date and evidence fields only when applicable.

Choose one

  • Not yet submitted
  • Submitted
  • Submission attempted but not confirmed
  • Returned for correction or further information

Date provided to the local authority

Complete this field if the return has been submitted or provided.

Day
Month
Year

Submission recipient or team

Enter the named recipient, team or service to which the return was provided, if known.

Written response

Submission evidence or reference

Record the available evidence of submission, such as a portal confirmation reference, secure-email record or local-authority receipt. Do not upload documents here.

Written response

Follow-up action needed

Record any outstanding action, correction or confirmation required in relation to the local-authority submission.

Written response


Record completion

Completed by

Required

Enter the name of the person completing this record.

Written response

Role or job title

Required

Enter the role or job title of the person completing this record.

Written response

Completion date

Required

Enter the date on which this record was completed or updated.

Day
Month
Year

The information in this record has been checked against the school's attendance and pupil records

Required

Confirm that the recorded details have been checked before the record is retained or submitted.

  • Tick when complete
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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