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Application Form for Free School Meals

Please complete this form regardless of whether you want your child to have school lunches or packed lunches.

Important: Since September 2014, all children in Reception, Years 1 and 2 have been able to enjoy school meals for free. This initiative is called Universal Free School Meals and should not be confused with the extra support that Free School Meals could provide.

During this current period of school closure eligible families are receiving food vouchers of £15 per pupil per week, thank you for taking the time to apply today.

If you are in receipt of certain benefits, or would like to receive free milk for your infant-aged children, you must still register for free school meals.
For every child that registers for free school meals, schools receive valuable "Pupil Premium" funding from the Government which in turn helps to increase resources in School. Even if your child chooses not to eat school meals, we would still encourage you to register.

Please ensure all sections of this form are completed. This information is required to check your eligibility for Free School Meals. Missing information may lead to delays in processing your application. This is also important to ensure the school receives the correct funding for your child. If you do not receive any of the following benefits your child will still receive free school meals up until year 2.

Please tick the relevant box stating which type of benefit you receive If you receive any of these benefits then you would be entitled to Free School Meals*
 YesNo
Child Tax Credit (but not entitled to Working Tax Credit), and you earn less than £16,190 A complete copy of your TC602 Revenue & Customs tax credit award notice for the current tax year
Income Support A letter from the Jobcentre Plus, which used the words ‘INCOME SUPPORT’, and is less than 3 months old
Income Based Job Seekers Allowance A letter from the Jobcentre Plus, which used the words ‘JOB SEEKERS ALLOWANCE INCOME BASED’, and is less than 3 months old
Income Based Employment Support Allowance A letter from the Jobcentre Plus, which used the words ‘EMPLOYMENT & SUPPORT ALLOWANCE INCOME RELATED ONLY’, and is less than 3 months old
Part IV of the Immigration and Asylum Act 1999 A copy of your letter from the National Asylum Support Service (NASS) which will confirm your status
Guaranteed Element of Pension Credit A copy of your Pension Credit M1000 Award Notice.
Universal Credit A copy of your online statement

Details about the person in receipt of a qualifying benefit

Details of all dependent children for whom you wish to claim Free School Meals
Please read and tick each of the below statements*
 Click below
I confirm that the information given on this form is correct.
I am currently receiving a qualifying benefit.
I understand that this information contained in this form may be passed to a third party if they are involved in the provision of free school meals.
I confirm that I will inform you immediately of any change in circumstances and if non-qualifying changes are not reported I will have to pay the outstanding amount.
I understand that Free School meals are for one year and I will be asked to reapply.
I attach the requested information as outlined above.
I understand that it is a criminal offence to knowingly make an untrue statement or other false information to obtain a grant, contribution or other financial benefit from Nishkam Primary School. Nishkam Primary School is under a duty to protect the public funds it administers and to this end may use the information on this form for the prevention and detection of fraud.

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