Internal

PeopleCert Business and IT examinations
Special Consideration Request form
Please complete all fields and submit the form to customerservice@peoplecert.org. Requests for special consideration
should be submitted as soon as possible and no later than 5 days after the exam(s).
Details
Candidate
Name

Candidateexam ID noAccredited
Training
Organisation(ATO) name

ATO ID no

Qualification title

Examination module (e.g., Foundation, Practitioner)

Date ofexamination

Was not present for the examination

Was present for the examination but was
disadvantaged

Date theproblem began

Is the problem continuing?

Is current medical/ psychological or otherevidence attached?

(yes / no)Summarise the adverse circumstances affecting examination performance (N.B. “See attached” will NOT suffice – youmust provide adequate detail)© 2024 PeopleCert | All rights reserved
Process: Manage and Support Exams
ID No: ECS_D_26-14 Special Consideration Request Form ver2.0|16/04/2024
Page 1 of 2

Internal

Declaration:
I am satisfied that the information provided is accurate and fully supports the application.
Submission Date

Signature

ATO
representative (ifappropriate)

Signature

Notes on the completion of the Special Consideration Form
We have designed this form so it is easy to understand and complete. Please read the steps below for additional
guidance on completing the form.

•If you are an ATO applying on behalf of a number of candidates, a separate form should normally be completed foreach candidate, for each qualification affected in the same qualification specification. However, in cases where agroup of candidates have been disadvantaged by a particular event (e.g., a fire alarm during a paper-basedexamination) a single form should be submitted. A list of candidates affected must then be attached to the form
when it is submitted to us•

Please state on the form the precise nature of the adverse circumstances affecting you, including in the appropriate
boxes, the date when the circumstances first began to affect you and if you were still affected by them during theexamination.

•

In cases where medical/psychological evidence is required, please ensure that this is attached to the form when it
is submitted to us.

•The representative of an ATO must support an application for it to be accepted for paper-based examinationsdelivered by a partner.

•Requests for special consideration may only be accepted after more than 5 days in the following circumstances:oapplication has been overlooked by a partner and the oversight is confirmed by the partner’s representative;

omedical evidence comes to light about your condition, which demonstrates that you must have been affectedby the condition at the time of the assessment, even though the problem revealed itself only after theassessment.

Please note that:•Where an assessment requires the candidate to demonstrate practical competence or where criteria have to be met
fully, or in the case of qualifications that confer a Licence to Practise, it may not be possible to apply specialconsideration.

•In some circumstances, for example for on-demand assessments, it may be more appropriate to offer the candidate
an opportunity to take the assessment at a later date.

If the application for special consideration is successful, a candidate’s performance will be reviewed in the light ofavailable evidence. It should be noted that a successful application of special consideration will not necessarily change
a candidate’s final result.
For additional information please refer to the Special Considerations Policy for PeopleCert exams.

© 2024 PeopleCert | All rights reserved
Process: Manage and Support Exams
ID No: ECS_D_26-14 Special Consideration Request Form ver2.0|16/04/2024
Page 2 of 2