1. Your Details (Parent or Guardian) Title * - Select -MrMrsMissMs 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 Please note: all pages of evidence must be scanned and attached to this application or your application will not be processedBenefit Clothing Grant Free School Meals Evidence Required Income Support, Jobseekers Allowance (Income Based) or Employment and Support Allowance (Income Related)YesYesCurrent letter of confirmation from Department Work & PensionCouncil Tax Rebate or Housing Benefit (25% Reduction For Single Occupancy is not included)YesNoWritten notification from CouncilChild Tax Credit but not Working Tax Credit (Income should not exceed £16,105)NoYesTax Credit Award Notice (TC602)Child Tax Credit and Working Tax Credit (Income should not exceed £6,420)YesYesTax Credit Award Notice (TC602)Support under Part VI of the Immigration and Asylum Act 1999NoYesLetter of confirmationUniversal Credit* Monthly take home pay for period must be under £610YesYesDecision Notice 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 Please upload confirmation of your entitlementPLEASE MAKE SURE YOU ATTACH ALL PAGES OF THE CONFIRMATION OF YOUR ENTITLEMENT! Add a new file * Files must be less than 8 MB.Allowed file types: gif jpg jpeg png bmp rtf pdf doc docx. Select what you would like to apply for Select what you would like to apply for Free school meals School clothing grant 3. Children’s Details (please list all children of school age)1st Childs Details Full Name Date of Birth dd/mm/yy Sex - None -FemaleMale School attended from August 2017 2nd Childs Details Full Name Date of Birth Sex - None -FemaleMale School attended from August 2017 3rd Childs Details Full Name Date of Birth Sex - None -FemaleMale School attended from August 2017 4th Childs Details Full Name Date of Birth Sex - None -FemaleMale School attended from August 2017 4. Bank/Building Society Details (must be provided for Clothing Grant Applications) Bank / Building Society details must be provided for all clothing grant applications as we can no longer make cheque payments (Please note: the structure of Argyll and Bute's payment system is unable to accommodate payments to the Post Office) 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 of application Please enter the date that you are making the application NOTES OF GUIDANCE FOR PARENT/GUARDIAN a) Application for grants for pupils aged 16 or over (i.e. pupils who are aged 16 or over after 1 March 2017) will have their grant paid once confirmation of their return to school has been received.b) Application for grants for pupils aged less than 5 years (i.e. pupils whose 5th birthday is after 28th February 2017) will have their grant paid once confirmation of their attendance at school has been received.c) Only one Clothing Grant payment per pupil will be made per school year (i.e. August – June).d) Payment of Clothing Grant will be made within 28 days of application* other than a) and b) above. *Please note that the first payrun for 2016/17 session will be made on 20 July 2017 - please allow 3-5 working days from this date for payment to show in your account.e) School will be notified of your child’s entitlement to Free School Meals within 5 days of approval of application. Please note that Clothing Grants applications for session 2017/2018 must be submitted by 31 March 2018. Clothing Grant applications received after this date will not be processed. 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. Leave this field blank CAPTCHAThis question is to test whether you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.