Free Early Education for 3 4 year olds

Data Correction Request Form for Provider Agreement

Provider Name
DfE URN

To be completed if you need to correct or update your Provider Agreement on the Free Early Education Portal. Please only complete the relevant sections below.

Funded period details

Funded period / Dates / Maximum number of days
Autumn / 1 September 2017 – 31 December 2017 / 98
Spring / 1 January 2018 – 31 March 2018 / 77
Summer / 1 April 2018 – 31 August 2018 / 91

Type of offer for 3 and 4 year olds

I want to change my type of offer for three and four year olds. Please note that this can only be changed before 1 September.

Current details / Stretched £ Term time £ Both £
Updated details / Stretched £ Term time £ Both £

Free early education hours

I want to change the times I offer free early education for three and four year olds. You can only add additional days before 1 September.

Current details / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
From / To / From / To / From / From / From / To / To / To / From / To / From / To
Morning
Afternoon
All day
Updated details / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
From / To / From / To / From / From / To / From / To / To / From / To / From / To
Morning
Afternoon
All day
Date free early education hours will change

Free early education term dates

I want to change the dates I offer free early education for three and four year olds and / or the dates when I will be closed. The maximum number of days Surrey Family Services will fund free early education each funded period is given above.

Current details / Start date / End date / Closed dates
Autumn
Spring
Summer
Updated details / Start date / End date / Closed dates
Autumn
Spring
Summer

Declaration

I confirm that all details provided are true and correct.

Signed
Name
Date
Telephone number

Once completed, this form should be emailed to .