Eligibility for funded 2 year old provision

Your child may be eligible for a funded 2-year-old place. To help us determine if your child is eligible, could we please ask you to provide the following information:

If you do not return the following information along with associated evidence, you may not be allocated a place.

APPLICANT

☐Mr ☐Mrs ☐Miss ☐Ms	First Name(s):	Click or tap here to enter text.	Surname:	Click or tap here to enter text.
Address 1:	Click or tap here to enter text.
Address 2:	Click or tap here to enter text.	Post Code:	Click or tap here to enter text.
Tel No.s:	Click or tap here to enter text.	Click or tap here to enter text.
Email:	Click or tap here to enter text.	@	Click or tap here to enter text.	Relationship to Child:	Choose an item.

CHILD’S DETAILS

FORENAME	SURNAME	DATE OF BIRTH	NURSERY TO ATTEND
Click or tap here to enter text.	Click or tap here to enter text.	Click or tap to enter a date.	Choose an item.
Click or tap here to enter text.	Click or tap here to enter text.	Click or tap to enter a date.	Choose an item.

Please select if relevant and provide evidence of being Care Experienced or a Looked After Child.

Your child is (or has been at any point since turning two) looked after by a local Council, the subject of a kinship care or guardianship order.	☐
You are a care experienced parent who has been in care under a UK local Authority.	☐

Please tick in the box next the type of benefit you receive:

Type of Benefit	Acceptable evidence
Income Support	Current Letter of Entitlement	☐
Income based Job Seekers Allowance	Current Letter of Entitlement	☐
Any income related element of Employment and Support Allowance	Current Letter of Entitlement	☐
Child Tax Credit, but not in receipt of Working Tax Credit, and an income below £19,995	Tax Credit Award Notice	☐
Child Tax Credit and Working Tax Credit, and an income below £9,552	Tax Credit Award Notice	☐
Support under Part VI of the immigration and Asylum Act 1999	Home Office Immigration Form	☐
Universal Credit with an earned household income below £796 per month	Award Notice	☐
Incapacity Benefit or Severe Disablement Allowance	Current Letter of Entitlement	☐
Pension Credit	Current Letter of Entitlement	☐

I certify that the information provided and the evidence enclosed is correct at the time of the application and I understand checks may be made by the council.

Signed: Applicant	Date: Click or tap to enter a date.

Other grants available from Scottish Government Best Start Grant Best Start Grant includes 3 one-off cash payments which you may be entitled to: 1. Pregnancy and Baby Payment 2. Early Learning Payment 3. School Age Payment Best Start Food Best Start Foods is a prepaid card that you can use to buy healthy foods. For further information and to apply please go to:- Best Start Grant Scottish Child Payment Grant This grant helps towards the costs of supporting your family. For further information and to apply please go to:- Scottish Child Payment

This form should be returned with proof of benefit award.

The proof should be current and within

three months of the date of your child’s start date.

Please return to ELC Commissioners:

South	Liz Scott	liz.scott2@highland.gov.uk
North	Caroline Green	caroline.green@highland.gov.uk
Mid	Jenny Stark	jenny.stark@highland.gov.uk
West	Tracy Mcilvar	tracy.mcilvar@highland.gov.uk
South & North	Highland Council, Education & Learning Service Glenurquhart Road, INVERNESS IV3 5NX
Mid & West	Highland Council, Education & Learning Service 84 High Street, DINGWALL IV15 9QN

Those born on or between:	will be eligible from
1st March - 31st August	August
1st September - 31st December	January
1st January - 28th (29th) February	April