SEND Support Request Form
Page 1 of 2 Rev
Rev0414022020
Please complete this form in Adobe Reader
Setting contact name
Name of setting
Address of setting
Email address
Date (dd/mm/yyyy)
I would like to request support from: Select as appropriate
Early Development
Learning Advisor
Area SENCO
Child’s first name
Child’s surname
Child’s Date of Birth
(dd/mm/yyyy)
Note: Text entered will wrap on multiple lines please complete as required, if larger than box space a scroll bar will appear to review text. When printing you
will not see characters held in the expanded view.
Area of learning that you may think require additional
support
Prime Areas
Aspect
Age and Stage of development
include Emerging, Developing or
Secure
Personal, Social and
Emotional Development
Making Relationships
Self Confidence and Self Awareness
Managing Feelings and Behaviour
Physical Development
Moving and Handling
Health and Self Care
Communication and
Language
Listening And Attention
Understanding
Speaking
What support has been
Implemented?
Evidence of support
Please review and tick the privacy notice (page 2 of this document) and email this form through secure mail (Egress) to:
denise.deighton@harrow.gov.uk. Submissions sent by standard email will not be accepted.
Address. Civic Centre, Harrow Early Years, 2
nd
Floor South Wing, 1 Station Road, Harrow HA1 2XY
Tel 07747 152652 email: denise.deighton@harrow.gov.uk web: http://harrowlocaloffer.co.uk/
SEND Support Request Form
Page 2 of 2 Rev
0414022020
Privacy Notice: - Parent
At Harrow Council we take privacy of data seriously.
This privacy notice tells you who we are and how you can contact us, our lawful basis and the purposes for processing
your children’s personal information. The notice explains our retention periods, who it will be shared with and your
rights on how we process the data.
Purpose
Information about your child will be provided to the Council as part of your consent with the provider you chose. The
information is entered into the council’s provider portal in order to assess entitlement and communicate securely with
the provider. The information is used to provide early years funding (further information can be found at
www.childcarechoices.gov.uk
). Registered Ofsted providers can provide early years services for children in Harrow
under the early years foundation stage statutory framework (EYFS) which sets standards for the learning,
development and care of children from birth to 5 years old.
Harrow Council requires the information to assist your child to receive their Early Education Funding Entitlement which
is distributed to the chosen provider.
Information is stored within the provider portal and may be used for the prevention and detection of fraud and or
criminal offences and or complying with another law such as the Health and Safety Act 1974.
Types of information to be shared
The information that is shared by the provider includes:
Childs personal information such as name, address, photograph (if required) date of birth
Name, address, ID or descriptions/photos of parents or guardians for the purpose of identification including
national insurance numbers if required for the purpose stated
Characteristics, such as ethnicity, language, nationality, country of birth and pupil premium eligibility;
Medical information, for incident response or as part of the 2 year check;
Special educational needs information, whether on an EHC plan or support;
Assessment information, such as the 2 year old progress check, and the EYFS profile outcomes at the end of
the Reception year;
Transition Document, information when transitioning to other providers or school
Bank account details, payroll record and tax status information
Provider locations, business addresses or physical provider settings
Correspondence relating to the child
Sharing with third parties
We will only use your personal information for the purposes for which we collected it, unless the reason is compatible
with the original purpose in this case to ensure children are supported in provider settings. Third parties we may share
the information with can be the Department for Education, HM Customs and Revenue, Quality Care Commission,
OFSTED and other departments within Harrow Council or contractors and designated agents.
Please note we may process your personal information without your knowledge or consent, in compliance with the
above rules, where this is required or permitted by law.
Security of information
We will only share information with or from Providers using a secure transfer method. Providers must email Harrow
Council using a secure email solution (Egress). The council agrees to securely hold parent/carer/children’s data in
accordance with our Information Governance and Security Policy
and data retention policy.
How long we store the information for
We retain children’s data relating to service provision for 25 years from the date Harrow Council received the
information. This is for record purposes and to deal with any enquiries or complaints during this period. After the
retention period expires we will delete the information held unless there is a basis in law to retain data for a longer
period. If this occurs we, or the provider will contact you as the parent or guardian of the child to make you aware of
this.
Right to complain or receive further information
Please contact us if you would like to know more about the information we hold about you and how we use it: email
FIS@harrow.gov.uk
. You have a right to complain to us if you think we have not complied with our obligation for
handling your personal information; please visit our Compliments and Complaints page. If you are not satisfied with
the Council’s response you have a right to complain to the Information Commissioner’s Office (ICO). You can report a
concern by visiting the ICO website.