To complete this application, you will first need to be logged into your University account.
The maximum amount that will be reimbursed is £350.
If the cost of your diagnostic test is more than £350 and you want to apply for the full amount to be reimbursed, you will need to submit a Hardship Fund Expression of Interest form instead. Further information can be found on our Re-imbursement of Diagnostic Assessments webpages.
In submitting this form, I can confirm that I have read and understood the below privacy notice.
The legal basis for processing your personal data is consent, which is obtained through your completion of this form.
The University of Warwick is the Data Controller of any information you have entered on this form and is
committed to protecting the rights of individuals in line with Data Protection Legislation. The
Data Protection webpages
provide further information on your rights and how the University
processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a
suspected personal data breach, please contact the University’s Data Protection Officer by email at
reCAPTCHA is a utility used to verify you're not a robot filling out this form. Unfortunately this has failed to load correctly.
Please try reloading the page. If the problem persists, or if you are in a country which blocks Google products, please contact us by using the ‘page contact’ link at the foot of this page.