Apply for free school meals | North Tyneside Council

About your child(ren)

(Include pre-school children but do not include foster children)

Child 1

First

Middle

Last

Child 1 date of birth

Name of school

This must be a school in North Tyneside

Child 1 year group

Child 2 (if applicable)

First

Middle

Last

Child 2 date of birth

Name of school 2

This must be a school in North Tyneside

Child 2 year group

Child 3 (if applicable)

First

Middle

Last

Child 3 date of birth

Name of school 3

This must be a school in North Tyneside

Child 3 year group

Tell us how you qualify for free school meals

Your child is eligible for free school meals if they are in Key Stage 1 (Reception, Year 1 or 2) or if you are in receipt of any one of the benefit listed below. Please tick all that apply.

Benefit

My child is in Key Stage 1

Income Support

Income-based Job Seeker's Allowance

Support under Part VI of the Immigration and Asylum Act 1999

Guaranteed element of State Pension Credit

hild Tax Credit without Working Tax Credit and an annual taxable income below £16,190 (as assessed by HM Revenue and Customs)

Working Tax Credit run-on - paid for 4 weeks after you stop qualifying for Working Tax Credit and an annual taxable income below £16,190

Universal Credit

Universal Credit - if you apply on or after 1 April 2018 your household income must be less than £7,400 a year (after tax and not including any benefits you get)

Declaration

I wish to apply for school meals in respect of the named children. I certify the information I have provided and the benefit I am claiming is correct. I will notify Student Support immediately of any change in circumstances. I agree for you to use the information I have provided to process my claim for free school meals and will contact other sources as allowed by law to verify my initial and ongoing entitlement. I understand that the information contained in this form may be passed to a third party if they are involved in the provision of free school meals.

Check to agree to these terms?