Application and eligibility form

Application and Eligibility Check Form

Only complete this form if you claim one or more of the benefits listed below. 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.

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.

To be eligible you must be claiming one or more of the following benefits or meet one of the other criteria. Please tick all you are claiming. *
Main Benefit Claimant's Details
Child's Details
Gender *
How did you find out about the funding?
Would you like to receive the MyFIS Newsletter? This is a termly newsletter full of useful information for York parents.

You can view our privacy notice online.


York Family Information Service and Information Service for Young People

01904 554444 / 01904 555400

Search for Childcare and Services