Application for Special Adjustments to Central Examinations form

Do not use this form if any of the following applies;

• it is less than 24 hours until your exam
• you cannot attend exams on the days and times they are currently scheduled (due to illness or other commitments)
• you do not have medical documentation to verify your need for special adjustments.

(In any of the above cases, you are not eligible for a Special Adjustment – but you may be eligible for a Deferred Examination.)
• if the application is relevant to a School-based assessment item
• you have a current Education Inclusion Plan and the request for special adjustment relates to the disability/health condition documented in this plan
• you have a long term health condition or disability, adjustments for which can be provided for in an Education Inclusion Plan developed by Disability Services, and it is before the end of week 9 (in this case, you must arrange to meet with a Disability Advisor before the Wednesday of week 9.)

• complete all Sections A, B and C of this form
• attach an original medical certificate