You must use the up-to-date form on this page and send it by email
When and how to tell us if a registered person or registered manager will be absent from their service for 28 consecutive days or more.
You must submit your notification within these timescales:
- planned absence: 28 days before it starts (contact us at HSCA_notifications@cqc.org.uk if 28 day's notice is not possible)
- emergency absence: within 5 working days of the start
You must tell us when the registered individual has returned after absence.
How to notify us
Use this form to tell us about the absence.
You must provide all the information we ask for. If your form is incomplete we will return it to you.
Statutory notification: Absence of a registered individual for 28 days or more
If you are using assistive technology and have any issues using this form, please contact us to let us know. We will make reasonable adjustments wherever possible.
Emailing the completed form to HSCA_notifications@cqc.org.uk