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Application and eligibility form

Application and Eligibility Check Form

Please note this form is for those who are wanting to use a funded place within the City of York Council area.

If you are unsure where to find your nearest Family Information Service please visit the Family and Childcare Trust 'Find Your FIS' page.

You can also complete this form by contacting York Family Information Service on 01904 554444.

Only complete this form if you feel you meet one of the eligibility criteria.

Please complete this form in full for the main benefit claimant. Failure to provide all the information will prevent your application from being processed. Only use full legal names including middle names.


There are different eligibility criteria , you just need to meet one of these to be eligible to apply.

Either parent/carer income based criteria (please tick any that apply to you)
Eligibility based on the child (please tick any that apply)
Extended eligibility criteria
Main Benefit Claimant's Details
Child's Details
How did you find out about the funding?
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