Application form for free schools meals and uniform hardship

More documents

Recommendations

Info

D. DWP BENEFITS / INLAND REVENUE TAX CREDITS Which benefits / tax credits do you receive? Tick box Income support or Income-based Job Seeker’s Allowance (JSA) Income-related Employment Support Allowance (ESA) Child Tax Credit with no entitlement to Working Tax Credit and an annual income below £16,190 Guarantee Element of Pension Credit Support under part VI of the Asylum Act 1999 E. EQUAL OPPORTUNITIES MONITORING POLICY Lewisham Pupil Support wants to ensure that we continue to provide our benefits to those families in need from all areas of the community. You are not required to complete this section to receive assistance. Are you, the claimant, male or female? Male Female Do any of your children have a physical disability or Special Needs? Yes No Are you a single parent? Yes No Have you applied to Lewisham for free school meals before? Yes No How would you describe your ethnic origins? Please tick one of the boxes below. Asian Black White Mixed Bangladeshi African British Mixed ethnicity Indian Caribbean Irish Pakistani British Turkish Arab Other black Greek Chinese Other white Vietnamese Other Asian How to apply You can hand this form into any AccessPoint, your child’s school or post it to us. Schools will not issue a free meal until they receive a free meal authorisation from Lewisham. If you see an officer at AccessPoint at Catford or Downham they will issue you with an authorisation which you should take into your child’s school. If you post your form to us or hand it to your child’s school we will send a meals authorisation directly to the school. This will be valid from the date we receive your form but may take a day or more to arrive. If we are unable to confirm your entitlement to free school meals we will write to you to request additional information. General information This application lasts for one year. We will write to you to renew your application when this form is due to expire. You must let us know if your benefit stops or changes or you change address. If you children start a new school, that school will not issue free meals until they receive a meals authorisation. OFFICE USE ONLY Initial and date QA 1 Hub check QA 2 On list QA 3 Schools notified Other 2
Grants are awarded to Lewisham residents whose children are transferring to local authority maintained secondary schools or Academy which does not provide its own grants. There is a limited fund available, and grants will be awarded on a first-come first-served basis. OFFICE USE ONLY REF Date rec. Parent/Guardian details Last name* First names* Title National insurance number* APPLICATION FOR SECONDARY TRANSFER UNIFORM HARDSHIP GRANT 2010 Date of birth* Address (you must be a Lewisham resident) Post code Telephone number You Your partner Student and Pupil Support 3 rd Floor Laurence House 1 Catford Road London SE6 4RU direct line 020 8314 6221 fax 020 8314 3019 *If these sections are not completed we will not be able to check your benefit entitlement. Child’s details First name Last name Date of birth Secondary school Which benefit/tax credits do you receive? Please tick all that apply Income support Income-based JSA Income-related ESA Child Tax Credit only (income below £16,190) Guarantee Element of Pension Credit Support under part VI of the Asylum Act 1999 Have you completed the Free School Meals 11+ Secondary Transfer form? Yes We will use your free school meal application to check your entitlement. If you are entitled to free school meals you do not need to provide any additional proof. If we are not able to check your entitlement we will write to you to request further proof. No You need to provide proof of your benefit with this application – turn over for details of the proof we can accept. If you do not provide any proof your application will not be processed. C. DECLARATION I declare that the information I have given in this form is true and complete. I authorise that the data on this form may be held on a computer system which has been registered in accordance with the Data Protection Act 1998 and may be shared with other local and national government agencies in order to facilitate the processing of this or other applications for assistance including Student Support and Housing Benefit. Signature Date Completed forms must reach us 31 August 2010. Forms received after this date will not be accepted. newforms.doc
Page 1: 11+ Free School Meals Application F

Application form for free schools meals and uniform hardship

Create successful ePaper yourself

Delete template?

Save as template?