APPLICATION FOR FREE SCHOOL MEALS

For households with no recourse to public funds (NRPF)

Please complete all sections in full.

The information provided will be used for the sole purpose of determining eligibility for free school meals under this criteria. Further information relating to this extension can be found on the government website here. Please complete the online free school meal checker here, if this criteria does not apply.

Note that eligibility for free school meals will also attract additional funding for the school, in the form of pupil premium funding. This funding can be used by the school to provide additional support to your child including extra tuition or after school activities.

Details of the Child/Children

Child’s Forename* Child’s Surname* Child's Date of Birth* Gender* Form Class (If Known)*

Details of Parent/Carer

Surname/Family Name* Forename* Title* Date of Birth* Relationship to child* Email Address* Verify Email Address* Telephone Number* Nationality* Address*

Please tick the immigration category you are applying under

Select one of the following If other is selected, you must explain further here:

Note that for Zambrano and Chen carers

If you do not have a derivative residence card, you must submit evidence that demonstrates all of the following:

- You are not a British citizen
- Your child is a British citizen
- You are a direct relative or legal guardian of the child and have primary responsibility for the child
- That there are other members of your family in the UK or the EEA who could look after the child.

Please upload evidence of status as listed above

Upload your file No file chosen Please enter No file chosen Evidence of status No file chosen Please enter No file chosen

Local Authority of your home address

Please select one of the following Other

How many adults live your address?

Please enter a numerical value

Are you employed?

Select one of the following

Is your partner employed?

Select one of the following

Are there any other employed adults in your household?

Select one of the following

Please tick the income category you are applying under

Annual Income

Please upload evidence of income for ALL adults in the household

Acceptable evidence:

Payslip from employer
P60, if dated within 2 months
Bank statement covering the last 3 months
Letter from local authority confirming support
Letter from employer confirming annual income

These must all be accompanied by bank statements showing the latest 3 months, to evidence total income

Please enter No file chosen Please enter No file chosen Please enter No file chosen Please enter No file chosen Please enter No file chosen Please enter No file chosen Please enter No file chosen Please enter No file chosen

Declaration

Declaration*I declare that the information given on this form is true and complete

Declaration*I confirm that the immigration category is accurate

Declaration*I confirm that I have declared all household income and that household income does not exceed the maximum income threshold for my area.

Declaration*I agree that you will use the information I have provided to process my claim for free school meals and will contact other sources as allowed by law to verify my initial, and ongoing, entitlement to free school meals.

DeclarationI understand that I may be liable for any costs incurred in providing free school meals for my child(ren), should the information provided be found to be incomplete resulting in provision of free school meals that my child was not entitled to.

Full Name* Date*

Curriculum

Sixth Form

Parents

APPLICATION FOR FREE SCHOOL MEALS

Details of the Child/Children

Details of Parent/Carer

Please tick the immigration category you are applying under

Note that for Zambrano and Chen carers

Local Authority of your home address

How many adults live your address?

Are you employed?

Is your partner employed?

Are there any other employed adults in your household?

Please tick the income category you are applying under

Please upload evidence of income for ALL adults in the household

Declaration