Please email this form through secure mail (Egress) to: inclusionfunding@harrow.gov.uk.
Submissions sent by standard email will not be accepted.
Please open and complete this form in Adobe Reader
Setting Name:
Claim for term:
Please complete this form for Inclusion Funding for ALL 2, 3 and 4 year old children with SEND or additional needs in your setting.
First name of child
as on the birth
certificate
Surname of child as
on birth certificate
Date of birth
Dd/mm/yyyy
Gender
Date child started
in setting
dd/mm/yyyy
Currently claiming
15 or 30 hours
Funding
Professionals
already working with
the child
EHC Plan
Requested
Finalised
2
Note: Complete the entries with the relevant information as required; a cross will appear to expand for review. The text in the expanded entry will not appear when printed.
Ver7 15082019
Harrow Early Years SEN Register for 2, 3 and 4 year olds
Please email this form through secure mail (Egress) to: inclusionfunding@harrow.gov.uk.
Submissions sent by standard email will not be accepted.
Please open and complete this form in Adobe Reader
Setting Name: Claim for term:
Please complete this form for Inclusion Funding for ALL 2, 3 and 4 year old children with SEND or additional needs in your setting.
First name of child
as on the birth
certificate
Surname of child as
on birth certificate
Date of birth
Dd/mm/yyyy
Gender
Date child started
in setting
dd/mm/yyyy
Currently claiming
15 or 30 hours
Funding
Professionals
already working with
the child
Need identified on
your register A,B,C,D
EHC Plan
Requested
Finalised
2
Note: Complete the entries with the relevant information as required; a cross will appear to expand for review. The text in the expanded entry will not appear when printed.
Ver7 15082019
Harrow Early Years SEN Register for 2, 3 and 4 year olds