Management Referral Form

If a colleague-in-training requires support you may need to submit a management referral form into the Lead Employer. 

If you require specific advice and recommendations for adjustments and advice on how to avoid work-related ill-health and to help sustain attendance at work, please complete the form below.

For North West colleagues, please follow the Cohort for Hosts process here.

Please note, if you do not require advice in relation to the colleague's condition, please advise that the individual submits a self referral form here.

Also note, this form must only be completed by a host organisation representative.