APPLICATION – FREE SCHOOL MEALS / CLOTHING GRANT

This form must be completed by a parent or guardian and returned to:

Shetland Islands Council, Education & Social Care,

Hayfield House, Hayfield Lane, LERWICK, ZE1 0QD

Telephone Number for enquiries regarding this application: Lerwick 744055

______

You are entitled to free school meals and a clothing grant. If you get;

  • Income Support
  • Income-based Jobseekers Allowance
  • Child Tax Credit and can provide a tax credits award notice (TC602) which shows your income as £14,495 or less (level set April 2007)

You are entitled to clothing grant only if you get

  • Working tax credit and are in possession of a NHS exemption form. Please please note that if you get working tax credit you are not eligible for free school meals

______

Please note that proof of benefit must be submitted with this form

Which benefit are you in receipt of:

Child Tax Credit

Income Based Jobseekers Allowance

Income Support

 Working tax credit

This application is for:

 Free School Meals  Clothing Grant  both

Details of person making application:

Name: ……………………………………………………………………………….

Address: ………………………………………………………………………………..

………………………………………………………………………………..

Post Code: ……………………………. Telephone: ……………………………….

Relationship to Pupil (s): …………………………………………………………..

National Insurance Number: ………………………………………………………….

Details of Pupils for whom application is made:

Name: …………………………………………… Date of Birth: ……………………………

School: …………………………………………… Class: ……………………………

Name: …………………………………………… Date of Birth: ……………………………

School: …………………………………………… Class: ……………………………

Name: …………………………………………… Date of Birth: ……………………………

School: …………………………………………… Class: ……………………………

Name: …………………………………………… Date of Birth: ……………………………

School: …………………………………………… Class: ……………………………

Payments for clothing grants are made directly into the applicant’s bank account. You should give the bank account details asked for on the opposite page. Payment can only be made by cheque in exceptional circumstances. If you do not have a bank account other arrangement can be made but this may result in you having to collect payment from Shetland Islands Council – Finance Services in person. Clothing grants are payable once every twelve months.

 I do not have a bank account.

Your application cannot be processed unless accompanied by proof of entitlement / benefit. You must submit a copy of your current TC602 (Tax award letter) or other documentary evidence of Income Support or Income-based Jobseekers Allowance.

The information given on this application form will be stored on a computer system by Shetland Islands Council – Education Service for the purpose of assessment and payment of any amounts due. You should be aware that the information you have given may be used in the prevention and detection of fraud.

All information given on this form is correct to the best of my knowledge and belief. I undertake to inform Shetland Islands Council – Education Service immediately of any change in the circumstances set out in this form.

Signature: ……………………………………….. Date: ……………………………………

BANK MANDATE FORM

PAYMENT BY BACS

When payments are due they will be paid directly into your bank account rather than by issuing a cheque. This is beneficial for a number of reasons:

~ No chance of cheques being lost or delayed in the post.

~ You will not need to visit the bank to pay a cheque in.

~ The payment will automatically clear as soon as it is sent to your bank.

In order to pay in this way could you please complete and return the details requested below.

Name:……………………………………………………………..

Address:……………………………………………………………..

…………………………………………………………….

Name of Bank/Building Society: ……………………………………………………………

Bank/Building Society Address: ……………………………………………………………

…………………………………………………………….

…………………………………………………………….

Sort Code: 

Account Number 

Signature. ………………………………………….. Date: ………………………

Check List

For Free School Meals - please enclose:

Application form

Current TC602 (Award letter from HM Revenue & Customs showing Tax Credits and other benefits)

or

  • Other documentary evidence of Income Support or Income-based Jobseekers Allowance

For clothing grant only, please enclose:

FormTC602 (Award letter form HM Revenue & Customs )

showing Working Tax Credits

and

  • Current NHS Exemption Card