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This form is to be completed by the parent of an eligible child together with the provider of early years education. Bracketed numbers indicate that there are help notes for your reference on the separate sheet Notes on completing the Parent Declaration Form. Please ensure you complete all four pages of this form.
Child’s full legal name (as shown in the child’s ID reference):
Parent/carer’s full legal name
Providers that claim Government funding via the self-stretched method to confirm that:
This page must be completed if your child is splitting the EYFE across more than one provider. EYFE can be split between multiple providers, but your child can attend a maximum of two sites in one day (Notes 7 and 10).
I understand that:
This form will not be accepted as evidence to support claiming DAF or settle funding disputes without both the parent and provider signing and dating this declaration.
Information provided on this proforma will be held on a computer system registered under the General Data Protection Regulations (GDPR), 2018. This information is used by the Department for Education in monitoring the use of the funding.
THIS FORM MUST BE RETAINED BY THE PROVIDER, FOR THE CURRENT FINANCIAL YEAR (APRIL TO MARCH), PLUS 2 YEARS FROM COMPLETION DATE AND MADE AVAILABLE AT THE REQUEST OF WEST SUSSEX COUNTY COUNCIL OFFICERS OR OFSTED INSPECTORS.
This section should only be used to record any changes to the child/parent or address information provided on the original Parent Declaration overleaf. Each change must be signed and/or dated by the parent and the provider where indicated.
I wish to notify you of a change to my child’s name, my name and/or our address (please complete details as appropriate below):
Child’s new legal name (as shown in the child’s ID reference)
Parent/carer’s new legal name
Note to Provider: Please ensure any changes are updated via the Online Provider Portal when you next submit your child-level headcount claim for this child.