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Referral to Children Missing Education (CME) Officer (form 50)

This form is to be completed to refer a child to the Children Missing from Education Officer for Derby City. The appropriate checks will be carried out and the result of the investigation will be fed back to you. Please be aware that once a school application is in place the case to the CME Officer will be closed. Similarly if this child is not at the address provided Derby City will not take case responsibility and will be passed back to you accordingly. This is in line with CME Guidelines 2016

Please also be aware that this does not replace safeguarding procedures. Should you have concerns about a child and require a safe and well check then please contact the First Contact Team on 01332 641172 and also the police on 101.


The fields marked with an asterisk (*) are required fields. All the information you enter will be submitted securely.

* Your name
* Your email address
* Confirm Your email address
* Referring Local Authority
* Name of professional
* Contact number
* Are there immediate concerns?

Missing Child’s Personal Details:

* Name
* Gender
* Date of birth
* Ethnicity
UPN
* Parent/carer name(s)
* Telephone number
* Last known school
* Are they still on roll?

* Last known address
* New address
* How have you been made aware of this new address
* Does the child have a disability?

* SEN status

* Early intervention
* CP status
* Is the child in care?

Contact details including emergency contacts:

1st contact name
1st contact relationship
1st contact phone number

Siblings of child - where applicable

1st sibling name
1st sibling date of birth
1st sibling school
Date information shared with 1st sibling's school

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