Application for Free School Meals

 
All fields marked with an asterisk * are mandatory.

Once you have submitted your completed online application you will receive notification of your eligibility in writing within 15 working days.
 
Please indicate which number you are providing?
Please indicate which number you are providing?
Your Date of Birth: 
 
Please enter details of each dependent child who is living at home and in full time attendance at school.
 
Surname:Other Names:Date of Birth:Name of School (if attending):Relationship to Applicant: 
 
Please indicate which benefits you receive (please select all that apply):






 
Important: We cannot refund the cost of any school meals taken before you make this application.

You should continue to pay for school dinners or provide a packed lunch until your entitlement has been confirmed.

We will contact your child’s school as soon as we have been able to confirm your entitlement. This may be on the same day as your application.

We will check on a regular basis that you still meet the qualifying criteria. Data provided by the Department for Education and collected from the Department for Work and Pensions, the Home Office and HM Revenue and Customs will be accessed to do this. If we find you no longer qualify for free school meals, we will write to you.
 
The authority is under a duty to protect the public funds it administers and to this end may use the information you have provided on this form within this authority for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes.
 

I have read the information above and agree that you will use the information I have provided to process my claim for free school lunches and will contact other sources as allowed by law to verify my initial and ongoing entitlement.  I understand that if I give false information I may be prosecuted.  I undertake to notify FSM administration IMMEDIATELY if any of the following apply:

  1. My Income Support/Income related Employment and Support Allowance or Job Seekers Allowance (JSA) Income-based stops.
  2. I start to receive Working Tax Credit.
  3. Household income as assessed by HMRC for Child Tax Credit exceeds annual income limit of £16,190.
  4. I wish to cancel my application and withdraw my consent to the above.
  5. I change my address.
Please select box to confirm your agreement and understanding of the above. *
 

Data Protection Act   

Personal information that you have provided will be used carefully and may be held on computer systems at the school/college and in the Children Services Department. These uses of personal information are covered by registration under the data protection legislation. Under this legislation you have the right to obtain a copy of the information we hold about you.

 
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Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422