for Early Years Funding and Pupil Premium
Parent/Carer Declaration 2020/21
What is Early Years Funding? up to 570 hours of free early learning and childcare per year:
- 2 year old entitlement - Some two year olds are entitled if certain criteria is
- Universal entitlement - All three and four year olds are entitled; eligible date of birth is the only criterion
- Extended entitlement - Three and four year olds of working parents may be eligible if certain criteria is met
Before completing this form, please make sure you have read the Information for parents 2020-2021 Leaflet which
can be found on the county webpages. Go to cambridgeshire.gov.uk and search for ‘Early Years Funding’.
Applying for Early Years Funding
This form and proof of your child’s identity and age is a mandatory part of the process for claiming Early Years
Funding. Your early years provider will be able to support you in your claim and in completing this form.
Name of provider Ofsted URN No
1) Child details
Address and post code
Proof of identity (birth certificate, passport etc)
Legal Forename in full (no
nicknames or middle names)
Name by which child is known if
different to above
Date of birth
Extended entitlement code 2+ Authorisation Code
Child’s ethnic group (please tick appropriate category from the choice below)
Traveller of Irish Heritage
White and Asian
Any other mixed background
Any other Asian background
Any other White background
Refuse to provide
Any other background
Info not obtained
Any other Black background
2) Siblings if your family has other children who are 0-5 years old living in the home please provide the name
and date of birth below.
3) Parent Details
The information in this section is needed to make eligibility or validation checks for extended entitlement, Early
Years Pupil Premium, and/or Disability Access Funding. Completing this section and signing this form gives us
permission to use your details to make these checks. Your personal information will be kept by your provider in
accordance with their Data Protection policies.
Extended Entitlement Checks are made against HMRC data throughout the year regarding your continued
eligibility. You must reconfirm your details to HMRC every three months to confirm eligibility. If your eligibility
lapses, only HMRC is able to reverse this decision.
Disability Access Funding (DAF) If your child is in receipt of Disability Living Allowance (DLA) please select Yes
below. Let your provider have a copy of the letter confirming the child’s entitlement to DLA in order to access DAF.
If your child is attending more than one provider, you will need to nominate only one setting where you wish the
DAF to go. Your provider will give you information about the DAF.
Yes / No Is your child in receipt of Disability Living Allowance?
If your child is eligible, who will be your Nominated