Tribunal Attendance Booking Form

Please find our GDPR policy on the website.

This form must be completed in its entirety, it cannot be saved and returned to. Until it is submitted your booking is not confirmed.

TERMS AND CONDITIONS

By completing this form, it is understood that as this child/young person’s parent/guardian or as the commissioning adult you have read, understood and agreed to the following terms and conditions about the forthcoming Tribunal and your request that I, Caro Strover, attend as one of your supporting witnesses.

You have requested that I am available to act as a witness at your child’s Tribunal.

Please complete this form within 7 days to confirm the date, or it may be released for another booking.

Fees:

  • If there are financial difficulties, please contact us to discuss payment options.
  • If there is no communication or prior agreement, interest will be applied to the invoice at 2% per month pro rata if the invoice is not paid  within 7 days of the invoice being emailed to the client and a £30 late fee may be incurred.
  • Attendance to the Tribunal is only confirmed on payment of the nonrefundable deposit of £305 (£5 Stripe administration fee).
  • Balance payment by internet transfer is preferred with the invoice being sent following the Tribunal, payable within 7 working days; bank details are given on the invoice.
  • Costs and options of what might be involved for Tribunal work are as follows:
    • £120 per hour for reading new evidence, reports and/or meetings (not for reviewing my own report for which there is no charge)
    • £120 per hour for pre Tribunal meeting
    • £120 per hour attending The Tribunal
    • Last minute cancellation/postponement, within 10 days of the Tribunal is charged at £100 in addition to the £305 non refundable deposit.
    • The deposit to confirm the booking is £305 and is non refundable, which includes a Stripe adminstration fee of £5. £300 will be deducted from the full cost following the Tribunal.
    • There is a service charge of £100 that is added to the total bill.
    • If the Tribunal is not on video link, travel will be charged at 45p per mile and £45 per hour of travel time, from Marlborough.
    • Any additional assessment reports since the CSGA assessment e.g. optometrist, speech and language, occupational therapy or private tutor reports, are important to process so please email these to us. These will be charged at pro rata basis of an additional £25 per report (dependent on the length of the report) with a charge of £75 for multiple reports. This will also include any further relevant communication between the professional and us. Please email copies of these reports to when you return this form.

    Please tick from the options below re request for a planning meeting prior to the Tribunal and for Attendance at the Tribunal.

Data processing and storage – in compliance with the General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679

Please read the following information carefully:

  • Reports and evidence CSGA holds for the Tribunal and any other information will be stored on Cliniko, for 5 years, which is secure and meets GDPR standards (for the purpose of reference, in the case of a request for future re-assessment, input or on request by parent/guardian for a copy if their copy has been lost).
  • During the time of the  process, information will also be stored on the working laptops which are all password protected.
  • Practitioners are ICO registered.
  • Copies of reports are confidential
  • Booking forms, reports and any questionnaires are stored using Cliniko software which is secure encrypted software.
Accept Terms & Conditions
You need to accept the above Terms & Conditions to submit this form
Tribunal Attendance
Please enter the child's full name
Please enter the child's date of birth
Please Enter : Child/Young's Person School
If Relevant : SENCo or Line Manager's Name
If Relevant :
If Relevant : Parent/Guardian/Commissioning Adult's Full Name
If Relevant : Parents/Guardian/Commissioning Adult's Email Address
If Relevant : Parents/Guardian/Commissioning Adult's Telephone Number
If Relevant : Parents/Guardian/Commissioning Adult's Relationship to Child/Young Person/Adult
Details of any advocate that is supporting you and contact details (optional)
Please share as much information as you are able
List of previous assessment reports that you are emailing to CSGA
Non-refundable deposit
Product total
Options total
Grand total

Deposit Cost (including £5 administrative fee) :

£305.00

All fields must be completed before payment can be made.