reSEND Query Form
This form is designed to give us basic information about your enquiry. This information will be used to direct you to the most appropriate team who will then contact you for more detailed information. The final page details our terms and conditions and enables you to electronically sign to indicate consent.
Parent/Carer Details
Please provide your personal contact details
Parent/Carer Full Name
*
First Name
Last Name
Parent/Carer Display Name
Preferred Name
What you would like us to call you and the pronouns you would prefer us to use
Contact Number(s)
*
Email Address
*
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Do you have any additional needs you would like us to be aware of?
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Supported Person Details
Please tell us the details of the person you are seeking support for.
Child/Young Person/Adult's Full Name
*
Child/Young Person/Adult's Preferred name
What does your child prefer to be called and the pronouns they prefer
Child/Young Person/Adult's Date of Birth
*
-
Day
-
Month
Year
Date
Child/Young Person/Adult's Address (if different from above)
School name and address (if applicable)
School Year (if applicable)
Please state if they are out of their chronological school year
SEND/Needs of the child, young person or adult.
*
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Type of Query
Are you requesting information and assistance on the standard EHCP process or DLA/PIP, or would you like support with an Appeal or something more bespoke?
*
Standard EHCP Process or DLA/PIP
Tribunal/Appeal/Bespoke
Other
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ISA Querys
Please select the main reason you are contacting us and what you are requesting help with.
Which service do you require?
*
New EHCP Application
EHCP Draft Review
EHCP Annual Review
DLA/PIP Application or Renewal
Other
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New Application
Which Package do you require?
*
Completion Application Package
Review Application Package
Other
Please give a brief history or overview of your query.
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Draft Review Application
Have you received a Draft Plan from your Local Authority
*
Yes
No
What date did you receive your Draft Plan from the Local Authority?
-
Day
-
Month
Year
Date
Have you requested a meeting with your Local Authority to discuss the draft?
*
Yes
No
I won't be requesting a meeting
If yes, what is the date and time of this meeting
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
If you ARE meeting with (or are planning on meeting with) the Local Authority do you want us to support you at this meeting?
Yes
No
Maybe
Please tell us anything else you would like to share with us about this Draft Plan and what you want to achieve from the Draft Review.
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Annual Reviews (AR)
Have you been invited to an Annual Review Meeting?
*
Yes
No
Annual Review Meeting has already happened
If yes, what is the proposed date and time of the Annual Review Meeting?
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Have you received the Annual Review Paperwork including the school's Progress Report?
Yes
No
Maybe
Do you want us to attend the Annual Review Meeting?
Yes
No
Maybe
Do you want us to review the Annual Review paperwork BEFORE and/or AFTER the Annual Review?
Before
After
Both
Please tell us anything else about the Annual Review that you want to share with us and what you are hoping to achieve from this review.
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DLA/PIP
Are you applying for DLA or PIP
*
DLA
PIP
Is this application for you or for the person detailed in the supported person section?
Me
Supported Person
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Other General Query
Please tell us how we can help you
*
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Tribunal/Bespoke Query
Which service do you require
*
Refusal to Access
Refusal to Issue
Section Appeal (B,F and/or I and/or extended appeal)
Disability Discrimination
Other
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Refusal to Assess or Issue
Have you received the Refusal Letter from the LA
*
Yes
No
Date of refusal letter (if received)
-
Day
-
Month
Year
Date
Are you going to Mediation?
*
Yes
No
Maybe
If YES, have you requested mediation and if so when, and do you have a date for the Mediation Meeting? Do you want our support at this mediation meeting?
If NO, have you requested a Mediation Certificate and if you have one what is the date on the Certificate?
Please tell us anything else you would like us to know about this refusal and what you are hoping to achieve.
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Section Appeals
Have you received your Final Plan?
*
Yes
No
If YES, what date was the Final Plan issued (if received)
-
Day
-
Month
Year
Date
Are you going to Mediation?
*
Yes
No
Maybe
Has the Appeal been lodged with the SEND Tribunal?
*
Yes
No
If YES, what date was it lodged?
-
Day
-
Month
Year
Date
Have you received the Appeal Paperwork from the Tribunal? If YES, what date did you receive this?
-
Day
-
Month
Year
Date
Do you have a Hearing Date? If YES, please state it below.
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Do you want us to represent you at the Hearing
*
Yes
No
Maybe
Please list any other important dates and deadlines that we need to know about.
Please indicate what level of support you think you will require from reSEND
*
Light Guidance
Hand Holding
Do it for me!
Not Sure
Other
Please tell us anything else you would like us to know about this appeal and what you are hoping to achieve.
*
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Disability Discrimination
Please tell us what you are appealing about and any information you think would be helpful
*
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Agreements and Consent
I agree to reSEND to storing my personal data on their systems. (Personal data will not be shared with third parties, other than when needed for the services required)
*
I agree
I agree that reSEND may share my information and discuss my case with other professionals. (We will always discuss with you before sharing information with anyone, including professionals. The only time we may not be able to is if we feel there is a safeguarding concern.)
*
I agree
I agree to pay for services received at the agreed price within 15 days of receiving the invoice and understand there will be a 25% interest fee applied after 15 days. I understand that if payment is not received within 1 month, then reSEND may instruct a third party to recoup the outstanding balance and the cost of this will be passed onto myself.
*
I agree
Payment Plan required? (reSEND offer interest free flexible payment plans)
*
Yes
No
Maybe
I agree that any actions taken based on information and advice received by reSEND is done so at my own risk. I will not hold reSEND responsible, to the fullest extent permitted by law, for any losses, penalties, surcharges, or other damages.
*
I agree
Signature
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