Forms

School Special Attendance Circumstance Record

Record the applicable attendance circumstance, supporting information, decision or provider notification, national attendance code, dates, additional absence classification and any resulting support or follow-up.

Form
CalmComplianceForm template

School Special Attendance Circumstance Record

Version
v1
Updated
1 October 2026
Audience
Maintained and academy primary and secondary schools in England, excluding independent schools.
Jurisdiction
england

Blank fields · read-only preview

Complete this record only when the pupil's attendance involves one or more of the circumstances listed below. Complete only the fields relevant to the selected circumstance. Record attendance or absence for each applicable session using the appropriate national attendance code.

Pupil and record details

Pupil name

Required

Enter the pupil's full name.

Written response

School admission number or other pupil identifier

Required

Use the identifier used in the school's attendance records.

Written response

Date this record was made

Required

Enter the date on which this record was completed.

Day
Month
Year

Applicable attendance circumstance

Applicable circumstance

Required

Select the single circumstance primarily covered by this record. If more than one circumstance applies, create a separate record where appropriate.

Choose one

  • Education provision arranged by a local authority
  • Dual registration at another school
  • Medical or dental appointment leave
  • Maternity leave for a pregnant pupil
  • Religious observance
  • Illness, including physical or mental-health-related illness

Dates and sessions

Start date of the attendance circumstance

Required

Enter the first date or session covered by this record.

Day
Month
Year

End date of the attendance circumstance

Required

Enter the final date or session covered by this record. For a single day, use the same date as the start date.

Day
Month
Year

Number of sessions affected

Required

Enter the number of school sessions covered by this record.

Number

Minimum: 0 · Maximum: 999

Attendance code and classification

National attendance code recorded

Required

Select the code recorded for the applicable session or sessions. For local-authority-arranged provision, record Code K and the nature of the provision. For dual registration, use Code D only for a session when the pupil is scheduled to attend the other registered school. For medical or dental appointment leave, use Code M where leave has been granted. For religious observance use Code R only for the qualifying day. For illness use Code I.

Choose all that apply

  • K — Education provision arranged by a local authority
  • D — Dual registered at another school
  • M — Medical or dental appointment
  • R — Religious observance
  • I — Illness
  • C — Leave of absence in exceptional circumstances, including applicable maternity leave
  • Not applicable to the session recorded

Additional absence classification

Required

Select all classifications that apply to the period recorded.

Choose all that apply

  • Long-term illness
  • Recurring illness
  • Physical illness
  • Mental-health-related illness
  • Qualifying single day set apart for religious observance
  • Additional day or days requested beyond the qualifying religious-observance day
  • Temporary attendance at another registered school
  • Attendance at education provision arranged by a local authority
  • Medical or dental appointment leave granted
  • Maternity leave period
  • None of these

Nature of local-authority-arranged education provision

Complete only when local-authority-arranged education provision is selected. Examples include attending courses at college or attending unregistered alternative provision.

Written response

Other registered school attended or scheduled to be attended

Complete only when dual registration is selected. Record the other school and the relevant session arrangement.

Written response

Supporting information and circumstances

Required

Record relevant facts, including the reason for the absence, the request or notification received, the exceptional circumstances considered where applicable, and any information relevant to long-term or recurring illness.

Written response

Decision or provider notification

Decision or notification status

Required

Select the status that applies to this record. Select more than one only where the record includes both a decision and a provider notification.

Choose all that apply

  • Leave granted
  • Leave not granted
  • Absence notification received from education provider
  • Education provider notification pending
  • Attendance or absence recorded for the scheduled session
  • Support or follow-up required
  • Decision not yet made

Date provider notification was received

Complete only when an education provider notification is received.

Day
Month
Year

Decision or notification details

Required

Record the decision-maker or notifying provider, the date of the decision or notification, and the basis for the action. For religious observance, identify the qualifying day. For maternity leave, record the period granted and the factors considered.

Written response

Support and follow-up

Support or follow-up actions

Complete when action is needed, particularly where illness absence is long-term or recurring. Record work with the family or other agencies, identified barriers and planned support.

Written response

Planned follow-up date

Complete when support or follow-up is required.

Day
Month
Year
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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