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Reasonable Adjustments Form June 2018
Reasonable Adjustments Request Form
3 Newbridge Square
T +44 (0) 1793 417 417
All applications for reasonable adjustments must be submitted a minimum of 10 working days prior to the exam
date. Requests for Higher Education Qualifications must be submitted 4 weeks prior to the exam date.
If you are taking an online exam via Pearson VUE or our remote proctored service, you must submit your
completed form before booking your exam sitting. For Pearson Vue you will need to register before requesting
reasonable adjustments. Once approved you will be provided details on how to proceed to book your exam.
Failure to submit your request within the minimum time stated above will result in your request being rejected.
Examination title
Email address
Membership Number
Contact phone number
Exam to be sat with:
BCS Accredited Training Provider
Pearson VUE Testing centre
Remote location (remote proctored)
BCS Public exam
What is the nature of your disability? (tick or complete as appropriate)
Cognitive impairment e.g. Dyslexia
Motor difficulties e.g. hand-eye co-ordination
Hearing impairment
Other (please specify in details section)
Visual impairment
Physical impairment e.g. cerebral palsy
Religious grounds
What reasonable adjustments do you require? (tick and provide details below)
Reader / Scribe
BSL / English interpreter
Rest period / Comfort break
Own software
Extra time
Larger font
Coloured paper (pink/blue/green/yellow)
Lip speaker
Own hardware
Please provide further details of requirement:
(please state name here)
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Reasonable Adjustments Form
October 2020
Extra time required for the disability
The standard time extension for BCS examinations is 25% upon submission of a suitable medical certificate
confirming your disability. Up to 100% extra time may be allocated dependent on your particular needs. Your
Health Professional must make a recommendation for how much time is required if more than 25% is requested.
Requested additional time in minutes:
Please indicate the form of evidence that supports your request and return a copy of the
report with this form:
The original Health Professional report with specified allowance request clearly detailed
A letter from another Awarding Body approving reasonable adjustments
A written statement signed by an appropriate religious authority (only applicable on religious grounds)
Other (please give details below)
Tick the box to confirm that relevant evidence has been attached
I confirm that the information on this form is true and accurate and I agree with BCS processing my data.
For HEQ qualifications, please submit this form to
For Professional Certifications, please submit this form to
If you require any assistance with completing this form, please contact the Customer Service Team on + 44 (0) 1793 417 417
our office hours 08:30 17:15 GMT, Monday - Friday.
GDPR Statement
We collect your personal data to ensure that your request for reasonable adjustments is processed in the appropriate way. We will store
your data in our systems for a period of 30 days after the examination date.
Your personal data is fully protected in our system against any risk that can affect its confidentiality, integrity and availability.
We do not use automated decision-making for processing your personal data.
The information on this form is only passed on based on a ‘need to know basis. This would normally include the BCS staff
member who is dealing with your request and the invigilator who will be required to make adjustments as a result of your
request. The invigilator will only be provided the minimum amount of information for them to conduct the extra time according
to your requirements. The information completed here will not be shown on your certificate.
In accordance with GDPR, you have certain rights that you can exercise free of charge. You have the right to be informed
about data processing, right of access to your data, right to rectification, right to erasure of your data (‘right to be forgotten’),
right to restriction of processing, right to data portability, right not to be subject to a decision based solely on automated
processing including profiling, right to lodge a complaint with the supervisory authority, and the right to compensation and
liability for damage suffered by improper handling of your personal data,
By signing this form, you express your free consent to the processing of your personal data according to and within the data
processing purposes stated in this privacy and consent notice.
You agree that you understand your rights to withdraw consent at any time, totally or partially, without affecting the lawfulness
of processing based on your consent before its withdrawal.
You acknowledge that if you wish to partially withdraw your consent, you can do that by revisiting this privacy and consent
notice to state your objections to processing your personal data.