Apply for free school meals 1Who can claim 2Parent/carer's details 3Children's details 4Ethnic origin, sexuality and religion 5Terms and conditions Progress Who can claim Do you receive any of the following benefits? Income Support. Income based Jobseeker's Allowance. Income related Employment Support Allowance. Support under Part VI of the Immigration and Asylum Act 1999. The guaranteed element of State Pension Credit. Child Tax Credit - as long as you have a yearly household income of less than £16,190 (as assessed by HM Revenue and Customs) and do not get Working Tax Credit. Working Tax Credit run-on (paid for 4 weeks after you stop qualifying for Working Tax Credit). Universal Credit - provided you have an annual net earned income not exceeding £7,400 (£616.67 per month). You must be the named recipient of the benefit to make the free school meals application Yes, I receive one of the benefits above If you are getting one of the benefits listed above, please click Next and continue with your application. Parent/carer's details Title Miss Mr Mrs First name Last name Postcode Find Address Telephone Date of birth Please enter one of the following that you hold: National Insurance number or Asylum Seekers Support Number Council Tax Support/Housing Benefit ref - optional Email confirmation Please inform me by email whether I am eligible for free school meals - optional Email address Ethnic origin, sexuality and religion Liverpool City Council is committed to making sure that our services are accessible to all members of the community. You do not have to answer the following questions about yourself, but if you do, it will help us to improve access to our services. This information is confidential and we will only use it to improve our services. Ethnic origin - optional -- Please Select -- Asian British Bangladeshi Indian Pakistani Other Asian background African Black British Caribbean Nigerian Somali Any other African background Any other Black background Chinese Gypsies Travellers Yemeni Other White and Asian White and Black African White and Black Caribbean Any other mixed background British Irish Any other white background Sexuality - optional -- Please Select -- Bisexual Gay woman or lesbian Heterosexual straight Gay man Prefer not to say Religion - optional -- Please Select -- Buddhist Christian Hindu Jewish Muslim Sikh None Other Do you consider yourself disabled? No Yes Prefer not to say If 'yes', do you need anything particular to overcome any barriers to receive our service? Details - optional Terms and conditions I understand that my entitlement to free School Meals will continue only for as long as I receive one of the benefits listed above and I agree to inform you immediately if my benefit or tax credit entitlement changes, if I change my address or if my child(ren) change school. I confirm that the information on this form is to the best of my knowledge and belief correct and complete, and I give permission for Liverpool City Council to check my eligibility status with the Department for Work and Pensions and HM Revenue and Customs. I agree that you will use the information I have provided to process my claim for free school meals. I agree that you can inform the school(s) attended by my child(ren) of their entitlement to free school meals You may use the information I have given to you in connection with this and any other claim for social security benefits that I have made or may make. You may give some information to other government organisations, if the law allows this. Confirm agreement to the terms and conditions I agree Data protection Please tick this box if you would like us to use the information you have provided in this form to tell you about other benefits, discounts, grants and council services you may be entitled to. YES – please tell me about other services and entitlements I may have - optional Liverpool City Council 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 for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. If you have any questions about this form please call 0151 233 3009 or Freephone 0800 0283697, or email benefits.service@liverpool.gov.uk Where did you find out about free school meals? - optional -- Please Select -- From school Internet search Council site link Library Friend Other