Reduced School Day Notification Form

• Published date: 21 December 2021
• Issuer: Department of Education

REDUCED SCHOOL DAY NOTIFICATION FORM

FORM A – (once complete please forward by email to

reducedschoolday@tusla.ie – further details in Notes section below)

Student’s Name:

Address:

Date of Birth:

Parent’s/Guardian’s

Name(s):

Tel

No.

Student’s Class/Year:

School Name:

School Address:

Roll

No.

School Email:

Tel

No.

Name and contact details

of the person in the

school overseeing the

reduced school day:

Have the

parents/guardians

consented to the use of a

reduced school day?

YES NO

Has the student been

involved in the process?

YES NO

Please set out the

reasons for the use of a

reduced school day.