Childcare provider forms

Listed below are our childcare provider application forms.

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Form name Purpose of Form Form Send form to
Specific child  form 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. The forms can be found on the Local Offer SEND Funding page (See instructions at end of forms)
SEND support request form Form for setting SENCo's to request support from the Area SENCo and Early Development Learning Advisor.  The forms can be found on the Local Offer useful links and documents page (See instructions at end of forms)

Disability access fund (DAF) form

Providers who offer 2,3 and 4-year-old children free early years education, can apply to claim a one off lump sum payment of £910 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 Complete form and email securely with scan of DLA evidence to
Quality application form Complete the Quality Evaluation Form: to apply for the ‘quality’ supplement as part of the Early Years Funding. Quality application form Complete and email securely to
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 Parent/carer to complete and sign and provider retains for their records.  Use the information to make funding entitlement claim.
Provider declaration form Annual forms for each academic year to be completed by all providers claiming funding entitlements. Provider declaration form Complete, sign and email scanned copy to