Parent Funding Authorisation Form
This form collects information from parents/carers to assess and process Early Education Entitlement (EEE) hours, eligibility for Early Years Pupil Premium (EYPP) and eligibility for Disability Access Fund (DAF).  It is mandatory to complete a parent authorisation form for each setting your child attends for their EEE and thereafter complete a new form where there are changes to any details previously submitted. This form must be completed, signed and returned to St Luke's School in order for them to be able to claim the funding entitlements on your behalf.
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Email *
1. Child Details
Child's Forename *
Child's Surname *
Address including postcode *
Child's date of birth (dd/mm/yyyy) *
MM
/
DD
/
YYYY
Gender *
Child's Ethnicity *
You must tick which one applies
Required
Special Educational Needs
Tick which one applies
Clear selection
Disability Access Fund (DAF)
 If your 3 or 4 year old child is currently in receipt of Disability Living Allowance the provider delivering your universal hours can claim an additional £828 Disability Access Fund (DAF). DAF can be claimed once in a 12 month period and cannot be split between multiple providers within the 12 month period. I understand the above statement and nominate the above provider to claim the Disability Access Fund for my child for the next 12 months. I have attached  a copy of my child’s current DLA award to confirm eligibility.
Parent/Carer Signature:
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