Application for School Clothing Grant and Free ... - Falkirk Council

AANE FO ORR AA''
Falkirk Council
Application for School Clothing Grant
and Free School Meals Entitlement
2013/14
Falkirk Council can provide free school meals, and payment towards the cost of school clothing and footwear. Your
child(ren) must attend any primary, special or secondary school managed by Falkirk Council to qualify. Payments
may also be paid where pupils are attending some special schools outside the area. School Clothing Grants & Free
School Meals will not be awarded to children attending nursery schools, nursery classes or other pre-5 centres.
Pupils are eligible if their parents/carers are in receipt of one of the benefits in the ‘will I qualify’ table below.
How much is the clothing grant and how will it be paid?
The grant is £50 for each child who qualifies. School clothing grants will be paid directly into a bank account. We
cannot pay into Post Office accounts.
How do I apply?
A new claim for clothing grant and free school meals is needed for each school year. You can only apply for one
Footwear & Clothing Grant per child for each school year, and you must apply before 31st March 2014. You can
apply for free school meals at any time during the school session. Please complete the application form in black or
blue ink and provide the supporting evidence. If you are in receipt of Housing Benefit this can be checked at the time
you submit your application. You must be the guardian of the child(ren) you are applying for.
Benefits Currently Received Clothing Grant Free School Meals
Income Support YES YES
Income-based Job Seekers Allowance
Any Income related element of Employment and Support
YES YES
Allowance
Child Tax Credit but not Working Tax Credit with an income
YES YES
under £15,910 with effect from 6 April 2013 (as assessed on your
Tax Credit Award letter from HM Revenues & Customs for
2013/14)
Child Tax Credit and Working Tax Credit with an income under
YES YES
£15,910 with effect from 6 April 2013 (as assessed on your Tax Only if your income
Credit Award letter from HM Revenues & Customs for 2013/14) YES is below £6,420
Support under part VI of the Immigration and Asylum Act 1999 YES YES
Pupils are eligible in their own right to apply for Free School Meals if they are aged 16-18 and in receipt of one of
the benefits noted above.
If your child qualifies for Free School Meals we will tell their School when the application is approved. You can
apply for Free School Meals at any time. Meals will be provided from the date the application is approved and
cannot be back dated.
No clothing grant is paid for young people who are 16 years old by 30th September 2013. They should apply for
an Education Maintenance Allowance.
If your application for clothing grant is successful we will aim to send you a payment before the new school year
starts if you have applied in time.
Can I get help with the form?
You can get help with filling out your form from any of the offices listed on the back page. General advice is also
available from the Council’s Customer First Team on 01324 590599 and the Falkirk Council website at
www.falkirk.gov.uk

Where will I return my form to?
Completed forms with original supporting documents may be taken or posted to any of the One Stop Shops or
Registration Offices listed below. If you prefer not to post original documents, please visit any of the locations listed
below, where your documents will be photocopied and returned to you.
A large number of applications are received each year and are processed as quickly as possible in order of receipt. It
may not be possible to process your application before the school term starts. Any original documents received will
be copied and returned to you. For postal applications, please ensure sufficient postage. Bank statements can only be
accepted as proof of Child Benefit receipt, not as proof of any other income. One application form can be used for
all children in your family, even if they attend different schools within the Falkirk area.
Bo’ness One Stop Shop
24 East Pier Street,
Bo’ness EH51 9AB
Tel: 01506 778899
Hours of opening: Monday-Friday 9am-5pm
Falkirk One Stop Shop
Callendar Square, Falkirk FK1 1ZF
Tel: 01324 506868
Hours of opening: Monday-Friday 9am-5pm
Camelon One Stop Shop
256 Main Street, Camelon, Falkirk FK1 4DY
Tel: 01324 503640
Hours of opening: Monday-Friday 9am-5pm
Registration Office
15a Seaview Place, Bo’ness EH51 0AJ
Tel: (01506) 778990
Hours of opening:
Monday,Wednesday and Friday
9am-1pm and 2pm-4.30pm
Registration Office
Municipal Chambers, Bo’ness Road,
Grangemouth FK3 8AF
Tel: (01324) 504499
Hours of opening:
Monday-Friday 9am-1pm and 2pm-4.30pm
Denny One Stop Shop
Carronbank House, Carronbank Crescent
Denny FK6 6GA
Tel: 01324 504050
Hours of opening: Monday-Friday 9am-5pm
Grangemouth One Stop Shop
5 York Lane, Grangemouth FK3 8BD
Tel: 01324 504550
Hours of opening: Monday-Friday 9am-5pm
Stenhousemuir One Stop Shop
398 Main Street, Stenhousemuir FK5 3JR
Tel: 01324 503340
Hours of opening: Monday-Friday 9am-5pm
Registration Office
Carronbank House, Carronbank Crescent
Denny FK6 6GA
Tel: (01324) 504280
Hours of opening:
Monday-Friday 9am-1pm and 2pm-4.30pm
Registration Office
318 Main Street,
Stenhousemuir FK5 3BE
Tel: (01324) 503580
Hours of opening:
Monday-Friday 9am-1pm and 2pm-4.30pm
Registration Offices in Newmarket Street, Falkirk and Redding Road, Brightons are unable to accept forms.
Other useful Contacts (if you need a copy of any of your award letters)
Inland Revenue 08450 703703 Tax Credits 08453 003900
Child Benefit 08453 021444 Pension Credits 08456 060265
Benefits Helpline 08456 088749

!
Application Form: Clothing Grant/Free School Meals Entitlement 2013/14
It is important that you read the guidance notes on pages 1 & 2 before completing this application form. You must
provide us with your bank/building society account details for clothing grant payment.
ABOUT YOU
Your Name: Title:
Forename:
Surname:
Your National Insurance Number:
Contact
Numbers:
Address:
Home:
Mobile:
Postcode:
HAVE YOU PREVIOUSLY APPLIED FOR FSM AND CLOTHING GRANT? If yes tick box.
ARE YOU A LONE PARENT? If yes tick box
By ticking this box, I authorise a check of my circumstances against Council Tax Records for proof of single
occupancy. You may need to provide additional information if other adults live at the same address.
PARTNER’S DETAILS:
NAME:
PARTNER’S NATIONAL INSURANCE NUMBER:
ABOUT YOUR CHILDREN - PLEASE LIST NAME OF EACH CHILD , THEIR DATE OF BIRTH AND SCHOOL THEY
WILL BE ATTENDING FROM AUGUST 2013.
PLEASE NOTE IF ANY OF YOUR CHILDREN ARE OVER 16 YEARS AND STAYING ON AT SCHOOL - THEY MUST APPLY
FOR EMA - PLEASE CONTACT YOUR ONE STOP SHOP/REGISTRATION OFFICE FOR FURTHER INFORMATION.
CHILDS FIRST NAME CHILDS SURNAME DATE OF BIRTH AGE SCHOOL ATTENDING AUGUST 2013
BANK ACCOUNT DETAILS: (POST OFFICE ACCOUNTS CANNOT BE ACCEPTED)
ACCOUNT HOLDERS NAME:
BANK/BUILDING SOCIETY BRANCH NAME:
SORT CODE: ACCOUNT NUMBER:
If you have provided bank account details that are not your own please tick the box
N.B Falkirk Council will not be held responsible if incorrect bank account details are provided or
for any payments made into a third party account that are not passed on to the claimant.
IF YOU DO NOT HAVE A BANK ACCOUNT AND WISH A CHEQUE PAYMENT TICK HERE:
Office use only
Ref No.

ABOUT YOUR BENEFITS:
Do you live outwith Local Authority Area?
If NO - Are you currently in receipt of
Housing Benefit? Tick one.
If YES you must provide evidence of ALL your income including your Original
Tax Credit Award Notice (TCAN) TC602 or provisional award notice for
2013/14, Child Benefit Award Letter, Original award letter confirming current
benefit award if any, Bank statements from within last 3 months showing receipt
of Child Benefit.
YES - by ticking this box I authorise a check of my circumstances
Yes
against benefit records for proof of income. Now go to Additional
Information, Data Protection & Parental Declaration.
No NO— PLEASE SEE BELOW with regards to what proof you
must provide with this application.
PLEASE TICK YOUR INCOME CRITERIA AND PROVIDE THE CORRESPONDING PROOF AS DETAILED BELOW
FREE SCHOOL MEAL CRITERIA CLOTHING GRANT CRITERIA
CTC only with income less than £15,910 CTC and WTC with income less than £15,910
Employment and Support Allowance
(Income Based)
CTC only with income less than £15,910
Jobseekers Allowance (Income Based) Employment and Support Allowance
(Income Based)
Income Support Jobseekers Allowance (Income Based)
Looked After and Accommodated Children Income Support
CTC and WTC with income