Apply for free entitlement for 2 year olds online

Eligibility criteria:

If any of the below options apply to you, tick the relevant box.

I am claiming Universal Credit and have a total family annual income from work of less than £15,400
I am claiming income support
I am claiming income based jobseekers allowance
I am claiming income based employment and support allowance
I am claiming child tax credit (but not entitled to working tax credit) with an annual income of less than £16,190
I am claiming the guarantee element of state pension credit
I receive support under part 5 of the immigration and asylum act 1999
I am claiming working tax credit with an annual income of less than £16,190
I care for a child with a statement of special education needs or an education, health and care plan
I am claiming disability living allowance on behalf of my child
I care for a child who is 'looked after' by the local authority
I care for a child who has left care through special guardianship or an adoption/ residence order

If you have ticked any one of the above questions, please continue with the rest of the form. If not, then you are not eligible.

Is your child currently attending any provider (i.e. a preschool, nursery or childminder)?

Yes
No

If yes, which provider?

Do you have a preferred provider?

Yes
No

If yes which provider?

Child's name

Child's date of birth

Sex of child

Female
Male

Parent's or carer's name(s)

Parent's or carer's National Insurance Number

If you do not know your national insurance number, you can find it on any payslips or any correspondence from the Department of Work and Pensions. You can also obtain a copy of it in writing by visiting the Directgov website - this link opens in a new window.

Parent's or carer's date of birth:

Address

Postcode

Telephone

Email address

Before completing this form read about fair processing of your information. This shows how we deal with any personal information you provide.

Data statement

I have read the data statement

Parent/carer signature

Date

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Apply for free entitlement for 2 year olds online

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