Application for clothing grant / free school meals

Proof of qualifying benefit must be scanned and attached to the completed application form

1. Your Details (Parent or Guardian)

Title: *

First Name: *

Surname: *

Address: *

Postcode: *

Telephone Number:

Email Address:

National Insurance Number: *

Benefit Claim Number (if known):

Spouse/Partners Name (If appropriate):

2. Will I qualify?

Please refer to the table below to see what you may qualify for

Benefit	Clothing Grant	Free School Meals	Evidence Required
Income Support, Jobseekers Allowance (Income Based) or Employment and Support Allowance (Income Related)	Yes	Yes	Current letter of confirmation from Department Work & Pension
Working Tax Credit (Income should not exceed £15,860)	Yes	No	Tax Credit Award Notice (TC602)
Council Tax Rebate or Housing Benefit	Yes	No	Written notification from Council
Child Tax Credit but not Working Tax Credit (Income should not exceed £15,860)	No	Yes	Tax Credit Award Notice (TC602)
Child Tax Credit and Working Tax Credit (Income should not exceed £6,420)	Yes	Yes	Tax Credit Award Notice (TC602)
Support under Part VI of the Immigration and Asylum Act 1999	No	Yes	Letter of confirmation

Enter which of the above benefits you currently receive: *

Please provide proof by attaching a current award letter confirming your entitlement to the above benefit

Select what you would like to apply for:

Clothing grant

Free school meals

3. Children’s Details (please list all children of school age)

1st Childs Details

Full Name:

Date of Birth <span>dd/mm/yy</span>:

Sex:

School attended from August 2011:

2nd Childs Details

Full Name:

Date of Birth:

Sex:

School attended from August 2011:

3rd Childs Details

Full Name:

Date of Birth:

Sex:

School attended from August 2011:

4th Childs Details

Full Name:

Date of Birth:

Sex:

School attended from August 2011:

4. Bank/Building Society Details (must be provided for Clothing Grant Applications)

Name of Bank/Building Society: *

Name of Account Holder: *

Account Details

Sort Code: *

Account Number: *

Roll Number (if applicable):

5. Declaration

I declare that the information provided by me is a true and accurate statement of my circumstances. I

acknowledge that false statements will render my application invalid and may result in prosecution. I will

notify you of any change in circumstances as this could affect my entitlement to free school meals

Submitted by: *

Name

Date: *

NOTES OF GUIDANCE FOR PARENT/GUARDIAN

Application for grants for pupils aged 16 or over (i.e. pupils who are aged 16 or over after 1 March 2011) will have their grant paid once confirmation of their return to school has been received.
Application for grants for pupils aged less than 5 years (i.e. pupils whose 5th birthday is after 28th February 2011) will have their grant paid once confirmation of their attendance at school has been received.
Only one Clothing Grant payment per pupil will be made per school year (i.e. August – June).
Payment of Clothing Grant will be made within 28 days of application* other than a) and b) above. *Please note that the first payun for 2011/12 session will be made on 28 July 2011 please allow 3-5 working days for payment to show in your account.
School will be notified of your child’s entitlement to Free School Meals within 5 days of approval of application.

DATA PROTECTION

All information will be held in the Council’s confidential systems or hard files. Such information will be used to assist in the provision and administration of clothing grants and free school meals. It will also be shared with the Local Authority department responsible for the administration of Housing and Council tax benefit and may be used to assess changes in your entitlement to either of those benefits. The uses of your personal information are covered by our registration under the Data Protection Act 1998.

Attach :

Please attach proof of entitlement to qualifying benefits

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Data Protection Fair Processing Notice

Argyll and Bute Council, or their agents, will hold information supplied on this form in accordance with the provisions of the Data Protection Act 1998

The personal data that you provide will be used to in order to progress or improve service delivery, to fulfil the councils statutory obligations e.g. to process your notification of a change of address. The information may also be used for other legitimate purposes e.g. housing and benefits administration. Where permitted by law, or where your consent has been obtained, information may be shared with other Councils, governmental and quasi-governmental bodies.

By completing and submitting this form you consent to the use of your personal data including, where appropriate, sensitive personal data.

You have a right to apply for a copy of the information we hold about you, and to have any inaccuracies corrected. The set fee (where applicable) will be charged.
Should you wish to exercise this right, your request must be made in writing to:

Data Protection Officer,
Argyll and Bute Council,
Kilmory,
Lochgilphead,
PA31 8RT

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