CONFIDENTIAL
ERITH SCHOOL
APPLICATION FOR FREE SCHOOL MEALS
School Year 2013/14
NOTE: This form must be signed by the person whose name is on the Income Support/ Proof of Benefit letter or other documents and has Parental Responsibility for the child that they are applying for. His/her name must be entered as the Applicant. Please complete this form using BLOCK CAPITALS.
A. Details of Parent Applying
Surname / Forename / Mr/Mrs/Miss/Ms
STUDENT(S) FOR WHOM THIS APPLICATION IS BEING MADE:
Student(s)’ Surname / Forenames / Year Group & Form Tutor(if known) / Date of Birth / Gender
M/ F
B. Please read the guidelines overleaf before completing and signing the Application Form.
· I am the parent who is in receipt of Child Benefit for the child(ren).
· The information I have given on this form is complete and accurate to the best of my knowledge and belief.
· I agree that Erith School may make enquiries to agencies, as allowed in law, to verify the information I have given. Including checking the Department for Education (DfE) Free School Meals Eligibility Checking System.
· When my circumstances change such that I am no longer entitled to claim Free School Meals for my children, I will advise Erith School immediately.
· I understand that if I continue to claim Free School Meals when my circumstances change I will be liable to repay the cost of meals taken by my child(ren).
· I have enclosed the necessary documentation to support my claim.
APPLICANT’S SIGNATURE: …………………………………………..
PRINT NAME: ………………………………………….. DATE: …………………
To qualify for Free School Meals please see below:
1. Providing Free School Meals
One complete hot or cold meal with a drink to a specified value (£2.00) per day for students under the age of 19 years at 1 September.
2. Who can claim?
To qualify for Free School Meals, parents must be in receipt of at least one of the following support payments:
· Income Support; or,
· Income based Employment and Support Allowance; or
· Income based Job Seekers Allowance; or
· Child Tax Credit but not Working Tax Credit and have an annual income of £16,190 or below from 6 April 2010 as assessed by Her Majesty’s Revenue and Customs. With regard to Tax Credits, Her Majesty’s Revenue and Customs guidelines are used for qualification and definition of household income; or
· Guarantee Element of State Pension Credit
· Support under Part VI of the Immigration and Asylum Act 1999
Families in receipt of Working Tax Credit or other support payments, apart from those mentioned above, are not entitled to Free School Meals.
Children who receive Income Support or Income based Job Seekers Allowance in their own right are also eligible to receive Free School Meals.
Children who qualify for Free School Meals, based upon the above criteria, must also receive education both before and after the lunch period in order to be eligible.
3. Providing evidence to support your claim:
Income Support: You will be required to confirm entitlement to Income Support.
Child Benefit: You will be required to confirm entitlement to Child Benefit. Acceptable forms of Child Benefit evidence are:
Her Majesty’s Revenue and Customs/Child Benefit Office letter: a copy of the whole letter, which is less than 1 year old and which states your name, address and child/children’s name(s); or
Tax Child Credit Award Letter: a copy of the whole letter, which is less than 1 year old and which states your name, address and child/children’s name(s); or
Other evidence (e.g. court order): a copy of the whole letter providing that you are the legal parent/carer responsible for the child/children.
If the necessary evidence is not included with your application, this will delay the processing of your application, the form may be returned to you and no Free School Meal award will be made. Therefore please assist us by enclosing the correct documentation.
4. How to apply:
Complete the Application Form and return, marked for the attention of Mrs. Evans, to Erith School, Avenue Road, Erith, Kent, DA8 3BN.
5. What happens when you apply?
The Free School Meals administrator will write and let you know whether you qualify and if you do:
(a) You will be issued with a free meals authorisation to have effect from the start of term, or the following Monday if an application is received during a term.
6. Can I obtain help in making my application?
Yes, if you need help you can telephone to discuss your application or to make an appointment with Mrs. Evans between 10.00 am and 11.30 am from Monday to Friday. Please ensure you bring along any documents in support of your application.
7. Whilst every effort has been made to state accurately the position at the date of publication of this leaflet, Erith School will not be liable for any inaccuracies, omissions or misrepresentations contained therein or for any changes which may be adopted without notice by Erith School subsequent to the date of this publication.