Get the free Exceptional Circumstances Submission Form

Form for review of an exception to PCT policy regarding specific medical interventions or treatments that require funding.

How to fill out exceptional circumstances submission form

How to fill out Exceptional Circumstances Submission Form

1. Read the instructions carefully to understand the purpose of the form.
2. Gather all necessary documentation that supports your exceptional circumstances.
3. Fill out personal details including your name, address, and contact information.
4. Describe the exceptional circumstances you are facing in detail.
5. Attach any supporting documents such as medical certificates or other relevant evidence.
6. Review the form for completeness and accuracy.
7. Submit the form by the specified deadline, ensuring it is sent to the correct address.

Who needs Exceptional Circumstances Submission Form?

1. Students facing significant challenges due to unforeseen circumstances such as illness, family emergencies, or other personal issues.
2. Individuals who require accommodations in academic settings due to exceptional situations.

People Also Ask about

What to write in exceptional circumstances?

Situations that are eligible for Exceptional Circumstances include: Bereavement through the death of a close relative, partner or close personal friend. Serious short-term physical illness or injury; this includes sudden worsening or a flare-up of a chronic physical health issue.

What counts as an exceptional circumstance?

Exceptional circumstances are unexpected, unavoidable, and outside of your control. They: impact your ability to complete an assessment.

What is an example of an extenuating circumstance?

Extenuating circumstances are temporary or short-term difficulties/problems affecting you. For example: Medical issues (including mental health/wellbeing) Death of a close friend or relative.

How do you write special circumstances?

Be concise and clear: Begin by briefly explaining the situation, focusing on conveying necessary details without dwelling on them. Your goal is to provide context, so try to be succinct while conveying the information that's needed for the reader to understand your unique challenges.

What are exceptional circumstances for University of York?

Circumstances that may fall into this category of exceptional circumstances are: Physical and mental illness or health emergencies (including treatment that has had a sufficient impact on the ability to undertake the required assessment activities and which cannot reasonably be changed or delayed).

How to write a letter explaining extenuating circumstances?

A letter of extenuating circumstances should describe in detail the situation or events that led to your academic difficulties. Aim for at least three paragraphs, no longer than two pages. The letter must be written by you and be in your own words.

What is an example of an exceptional circumstance?

Situations that are eligible for Exceptional Circumstances include: Bereavement through the death of a close relative, partner or close personal friend. Serious short-term physical illness or injury; this includes sudden worsening or a flare-up of a chronic physical health issue.

What are examples of personal circumstances?

Such circumstances might include but are not limited to: Serious illness of a close relation. A long-term relationship breakdown, such as a marriage. Sudden or unanticipated caring responsibilities. Exposure to a difficult or challenging home environment.

For pdfFiller’s FAQs

What is Exceptional Circumstances Submission Form?

The Exceptional Circumstances Submission Form is a document used to report unforeseen or extraordinary situations that may affect a person's eligibility or compliance with certain regulations or requirements.

Who is required to file Exceptional Circumstances Submission Form?

Individuals or entities that experience significant unforeseen events impacting their compliance or eligibility criteria are typically required to file the Exceptional Circumstances Submission Form.

How to fill out Exceptional Circumstances Submission Form?

To fill out the Exceptional Circumstances Submission Form, provide your personal or organizational details, describe the extraordinary circumstances, detail how they impacted your situation, and submit any supporting documentation as required.

What is the purpose of Exceptional Circumstances Submission Form?

The purpose of the Exceptional Circumstances Submission Form is to formally document situations that warrant special consideration and to allow for appropriate assessment by the reviewing authority.

What information must be reported on Exceptional Circumstances Submission Form?

Information that must be reported includes personal or organizational identification details, a description of the exceptional circumstances experienced, the impact of these circumstances, and any relevant documentation or evidence to support the claim.