Assistive Technology appeal by school form

• Published date: 04 November 2019
• Issuer: Department of Education

Assistive Technology (Circular 0010/2013)

Appeal by school

DATA PRIVACY STATEMENT

The main purpose for which the Department requires the personal data provided by you is facilitate the allocation of

assistive technology in line with the scheme and process appeals. The personal data provided is shared between the

Department and the NCSE. The privacy notice outlining further information in relation to this form can be found at

https://www.education.ie/en/The-Department/Data-Protection/gdpr/.

Full details of the Department's data protection policy setting out how we will use your personal data or that of the

child as well as information regarding your rights as a data subject are available at

https://www.education.ie/en/The-Department/Data-Protection/. Details of this policy and privacy notice are also

available in hard copy upon request from the following address : Special Education Section, Department of

Education and Skills, Cornamaddy, Athlone, Co. Westmeath N37 X659.

A. Pupil Details

Name of pupil

B. School Details

Name of School

Address of School

Eircode

School Roll Number

C. Description of Appeal (tick one)

An appeal against a refusal by the Department of Education and Skills to sanction an assistive technology

grant to a school on the grounds that it does not fulfil the criteria set out in Circular 0010/2013.

Other (e.g. Where an Assistive Technology grant has been sanctioned, but the school wishes to appeal

the amount of the grant, or the specific equipment for which sanction has been granted) – please

provide further details below.

Where “other” is selected above, please briefly outline below the basis for the appeal – personal information on

the pupil, including details of their specific disability/special educational need should not be provided.

Signed by Principal:

Date:

Phone number:

(It may be necessary to contact you to

discuss the appeal)

Email address:

Once completed, appeal form to be submitted to:

Primary or Special Schools (and Post-Primary Schools where the application is for audiological equipment):

The Higher Executive Officer, (Assistive Technology) Special Education Section, Department of Education and Skills,

Athlone, Co. Westmeath N37 X659

Post Primary Schools:

The Higher Executive Officer (Assistive Technology) Schools Division Financial, DES, Cornamaddy, Athlone N37 X659

IMPORTANT: The purpose of this form is to allow the Department consider an appeal from a school where assistive

technology has not been granted, or where it has been granted but the school wishes to appeal the amount of the

grant, or the specific equipment provided. The original application form and/or professional reports supplied to the

SENO should not be re-submitted with this appeal form. In the event that new or updated reports are available,

these may be submitted to SENO in support of a new application. An appeal of the decision not to award Assistive

Technology can only be based on the information on which the original decision was made.