Individual Mitigating Circumstances report form
Use this form to tell us about your circumstances and the impact they have had on your recent assessments.
Before filling out this form, read our guide to Reporting Individual Mitigating Circumstances and Providing evidence for Individual Mitigating Circumstances.
Submit the form and any evidence you are providing to your Director of Studies within three working days of your first affected assessment. If your circumstances have affected assessments over more than three days, you will need to submit a form for every three-day period.
If you have questions about filling out the form, you should speak to your Director of Studies. Independent advice is also available from the SU Advice & Support Centre.