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Provider Forms

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Block Funding Application Form

Part of the Inclusion Funding - To increase the capacity of childminders, settings and schools to better meet the additional needs of 3 year old and 4 year old, universally funded children with emerging SEND, by developing provision in partnership.  This fund is an additional resource, to provide services or resources, outside of the school/settings expected remit, for children with additional needs/emerging SEND.  Further information can be found on the Funding for Special Educational Needs and Disabilities pages. Block Funding Application Form (741 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

Child-Specific Application Form

Part of the Inclusion Funding - To provide targeted support for a child who cannot access learning, or the broader social and cultural
curriculum, within the resources of the school/setting because they have additional needs/emerging
SEND. Further information can be found on the Funding for Special Educational Needs and Disabilities pages.
Child-Specific Application Form (789 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

Disability Access Fund (DAF) Form

Providers who offer 3 and 4 year old children free early years education, can apply to claim a one off lump sum payment of £615 for eligible children in receipt of Disability Living Allowance (DLA) in order to support their learning. Complete this form providing a copy of the child's current Disability Living Allowance letter to apply.

DAF Application Form (699 KB) Complete form and email securely with scan of DLA evidence to This email address is being protected from spambots. You need JavaScript enabled to view it.

Quality Application Form

Complete the Quality Evaluation Form: to apply for the ‘quality’ supplement as part of the Early Years Funding.

Quality Application Form (727 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

Parent/Carer Declaration Form

This form needs to be completed by the parent/carer for each child taking up free early years funding entitlements at their chosen provider.  If a child takes up the entitlement from multiple providers they are required to complete this for each provider.  The provider will use the information provided  in this for to apply for funding entitlements for the child, and the provider is required to retain this document for audit purposes.   Parent Declaration Form (222 KB) Parent/carer to complete and sign and provider retains for their records.  Use the information to make funding entitlement claim.

Pathways to EHCP Application Form

Part of the Inclusion Funding - The fund enables you to include and support a child with significant identified SEND while you and the child's parent/carer apply for an Education Health Care Plan (EHCP).  An EHCP ensures that a child with significant SEND is supported until s/he is 25 years old.Further information can be found on the Funding for Special Educational Needs and Disabilities pages. Pathways to EHCP Form (781 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

Provider Declaration Forms

       
Annual forms for each academic year to be completed by all providers claiming funding entitlements.  Please select and complete the most appropriate form based on structure of you childcare business See Provider Declaration Forms below - Select as appropriate. Complete, sign and email scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Individual - Provider Declaration Form
Provider Declaration Form for Individual (147 KB) Complete, sign and email securely the scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Company - Provider Declaration Form
Provider Declaration Form for Company (154 KB) Complete, sign and email securely the scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Partnership - Provider Declaration Form
Provider Declaration Form for Partnership (148 KB) Complete, sign and email securely the scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Limited Liability Partnership - Provider Declaration Form
Provider Declaration Form for Limited Liability Partnership (146 KB) Complete, sign and email scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Unincorporated Charities and Trusts - Provider Declaration Form
Provider Declaration Form for Unincorporated Charities and Trusts (147 KB) Complete, sign and email scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Incorporated Charities and Trusts - Provider Declaration Form
Provider Declaration Form for Incorporated Charities and Trusts (144 KB)
(144 KB)
Complete, sign and email scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Cooperative and Community Benefit Societies - Provider Declaration Form
Provider Declaration Form for Cooperative and Community Benefit Societies (152 KB) Complete, sign and email securely scanned copy to This email address is being protected from spambots. You need JavaScript enabled to view it.

SEND Register Form

SEN Register (Special Educational Needs Register) should be completed for ALL 2, 3 and 4 year old children with SEND or additional needs in childcare setting. SEND Register Form (834 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

SEND Support Request Form

Form for setting SENCo's to request support from the Area SENCo and Early Development Learning Advisor. Send Support Request Form (896 KB) Complete and email securely to This email address is being protected from spambots. You need JavaScript enabled to view it.

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