Referral How we use your information Trafford SENDIASS will use your personal information for the purpose of delivering the service as requested by you by completing this form. Detailed information about how Trafford Council handles personal information is set out in the council's Primary Privacy Notice and Trafford SENDIASS Privacy Notice. Who is this referral for? This is a referral about someone else; consent has been givenThis is a referral for myself Information about you Your name Your phone number (If a landline please include area code) Your email Young person's date of birth (DD/MM/YYYY) Do you live in Trafford? YesNo Your postcode Next Page Details of the person you are referring First name of the person you are referring Last name of the person you are referring Relationship to the person you are referring Previous PageNext Page School information about you, or the person being referred Name of school or college currently attended Year group Do you or the other person have an Education Health and Care Plan in place (EHCP)? YesNoDon't know Is any SEN support currently being provided in school? YesNoDon't know How can we help you? Previous Page Submit