APPLICATION FORM FOR FREE SCHOOL MEALS by evk20444

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									APPLICATION FORM FOR FREE SCHOOL MEALS

Please complete a separate form for each school

 St Mary Abbots School
 2 Kensington Church Court
 London
What is a Free School Meal?
 W8 4SP

A Free School Meal is paid for by the Government and is provided to a child free of
charge.

Does Your Child Qualify?

Your child qualifies for Free School Meals if you or their other parent/guardian are
receiving:

      Income Support
      Income Based Jobseekers Allowance
      Child Tax Credit – A recent Inland Revenue tax credit notice (TC602)
       showing you are not entitled to Working Tax Credit and your annual income
       does not exceed £13,910 (as assessed by the Inland Revenue)
      Guarantee element of State Pension Credit (from 30.4.05)
      Financial Assistance from the Asylum Team of Social Services or the National
       Asylum         Support       Service        (NASS)


To Be Completed By The Parent Or Guardian (please print in block capitals)

Full Name:


Present Address:

Telephone:

If your partner is the parent or guardian of your child, and your partner but not you
receive benefits       please confirm:

Their full name:

Their Permanent Address:



Telephone Number:

Previous Address (if you have moved in the last year)



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Full names of dependent children (Please include all children for whom you receive
child benefit).

      Surname          First Name         Date of      Boy/Girl
                                           Birth




4.      Which benefits do you receive? Iick appropriate box

Do you receive:       1)      Income Support

                      2)      Income Based Job Seekers Allowance

                      3)      Child Tax Credit

                      4)      Guarantee element of State Pension Credit

                      5)      Financial   Assistance   from   the   Asylum     Team

                      6)      The National Asylum Support Service (NASS)

Providing evidence of Benefits

     1. Income Support – Parent/Carers with entitlement to Income Support will have
        received a letter from the Department of Work & Pensions (DWP) granting or
        stating that    they are      entitled. This letter must be presented to the
        school.

     2. Income based Job Seekers Allowances - Parent/Carers with entitlement to Job
        Seekers Allowance (Income based) will have received a letter from the
        Department of Work & Pensions (DWP) granting or stating that they are
        entitled. This letter must     be      presented     to     the     school.

     3. Child Tax Credit – Provided they are not entitled to Working Tax Credit and
        have an annual income, as assessed by the Inland Revenue that does not
        exceed £13,910. As proof of entitlement the claimant must present a
        completed Inland Revenue form      TC602

     4. Guaranteed element of State Pension Credit – For those in receipt of the
        “Guaranteed” element of Pension Credit it is suggested that parents produce
        their “Pension Credit M1000 Award Notice” as proof of entitlement. The

                                                                          Page 2 of 3
   “How Pension Credit has been worked out for ….” Section of this form clearly
   shows details of any Guaranteed Pension Credit in payment .

5. The National Asylum Support Service (NASS) - A letter from The Asylum
   Team or The National Asylum Support Services showing the assistance you
   receive from them.




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