Service Cancellation Form

Complete this form as soon as possible when a session is cancelled or a facility or service becomes unavailable. The information provided will be used to notify relevant teams and support timely communication with customers. A separate Loss of Income and Service Impact Form should be completed once the disruption has ended.

Cancellation Details

Please provide details of the site, facility, service or session affected by the cancellation or closure.

Site(Required)

Which satellite site or facility?(Required)

Completed by(Required)

Date reported(Required)

Time reported

What is affected?(Required)

Please provide further details(Required)

Include the facility, session or activity affected.

Reason and timeframe

Please provide details of why the cancellation or closure is required and how long the disruption is expected to last.

Reason for cancellation or closure(Required)

Please briefly explain what has happened and why the facility, service or session has been cancelled or closed.

Cancellation or closure start date(Required)

Closure Start Time(Required)

How long is the facility or service expected to be unavailable?(Required)

Include the expected reopening date and time where known. If unknown, provide the best available estimate.

Actions Taken

Actions taken to resolve or reduce the disruption

Actions taken to resolve or reduce the disruption(Required)

Include any action taken to resolve the issue or provide alternative arrangements.

Have affected customers been contacted directly?(Required)

Yes

In progress

Not applicable

What action has been taken to inform affected customers?(Required)

For example, contacting customers directly and how you have done this

What action is planned to inform affected customers?(Required)

Please include how customers will be informed and when this is expected to happen.

Additional Information

Include any other information that may help relevant teams respond to the cancellation.

Estimated Service Impact

Please provide the best available estimate at the time of submission. We understand that the final impact may change.

Approximate number of sessions affected(Required)

Include sessions already cancelled and any additional cancellations expected.

Approximate number of customers affected(Required)

Estimate total number of customers that usually attend these sessions.

Estimated loss of income (£)(Required)

Provide an approximate figure based on cancelled sessions, lost bookings, refunds or usual income for the affected period.

How was the estimated loss calculated?(Required)

For example, five cancelled sessions at approximately £80 per session.

Service Cancellation Form

Cancellation Details

Reason and timeframe

Actions Taken

Estimated Service Impact

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