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School Free Transport

Free School Transport Part 3

Parent or carer details

Are you applying based on
Date of birth
For example, 31 03 1980

If you are unable to give us your National Insurance number attach proof of benefit

For Child Tax Credit a full copy of your current TC602 Tax Credit award notice

For the following benefits you must provide a letter of entitlement dated within the last 6 weeks

  • Employment and support allowance (income based)
  • Income support
  • Job seekers allowance (income based)
  • The Guarantee element of state pension credit
  • Support under part VI of the immigration and Asylum Act 1999
  • The full amount of working tax credit

All pages of the document must be provided

Free home to school transport will be provided if your child is a regularly practicing member of a church of the same faith as the school and the school is over the minimum distance from their home address

Previous
<h1 class="heading-large">Parent or carer details</h1>

<form action="free_school_transport_part_4" method="post">
<div class="content-block">

    <fieldset>
        <div class="form-group">
            <label for="parent-carer-first-name">
                <span class="form-label-bold">First name</span>
            </label>
            <input class="form-control" id="parent-carer-first-name" type="text" name="parent-carer-first-name">
        </div>

        <div class="form-group">
            <label for="parent-carer-last-name">
                <span class="form-label-bold">Last name</span>
            </label>
            <input class="form-control" id="parent-carer-last-name" type="text" name="parent-carer-last-name">
        </div>

        <div class="form-group">
            <label for="parent-carer-email">
                <span class="form-label-bold">Email address (optional)</span>
            </label>
            <input class="form-control" id="parent-carer-email" type="text" name="parent-carer-email">
        </div>
    </fieldset>

    <div class="form-group">
        <fieldset>
            <legend>
                <span class="form-label-bold">Are you applying based on</span>
            </legend>

            <label class="block-label" for="low-income" data-target="low-income-fields">
                <input id="low-income" type="checkbox" name="low-income" value="Low-income">
                Low-income
            </label>

            <div class="panel-indent js-hidden" id="low-income-fields">

                <div class="form-group">
                    <label for="ni-no">
                        <span class="form-label-bold">National insurance number</span>
                    </label>
                    <input class="form-control" type="text" id="ni-no" name="ni-no">
                </div>

                <div class="form-group">
                    <fieldset>
                        <legend>
                            <span class="form-label-bold">
                                Date of birth
                            </span>
                        </legend>

                        <div class="form-date form-group form-date-group" data-grouped-inputs>

                            <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Day" data-valmsg-replace="true"></span>
                            <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Month" data-valmsg-replace="true"></span>
                            <span class="field-validation-error" data-valmsg-for="Child.DateOfBirth.Year" data-valmsg-replace="true"></span>

                            <span class="form-hint">For example, 31 03 1980</span>
                            <div class="form-group-day" data-grouped-input>
                                <label for="Child.DateOfBirth.Day">Day</label>
                                <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Day must be a number." data-val-range="Day must be between 1 and 31." data-val-range-max="31" data-val-range-min="1" data-val-required="Day field is required" id="Child_DateOfBirth_Day" name="Child.DateOfBirth.Day" type="text" pattern="[0-9]*" inputmode="numeric">
                            </div>

                            <div class="form-group-month" data-grouped-input>
                                <label for="Child.DateOfBirth.Month">Month</label>
                                <input maxlength="2" class="form-control" data-val="true" data-val-number="The field Month must be a number." data-val-range="Month must be between 1 and 12." data-val-range-max="12" data-val-range-min="1" data-val-required="Month field is required" id="Child_DateOfBirth_Month" name="Child.DateOfBirth.Month" type="text" pattern="[0-9]*" inputmode="numeric">
                            </div>

                            <div class="form-group-year" data-grouped-input>
                                <label for="Child.DateOfBirth.Year">Year</label>
                                <input maxlength="4" class="form-control" data-val="true" data-val-number="The field Year must be a number." data-val-range="Day must be between 1980 and 2014." data-val-range-max="2014" data-val-range-min="1980" data-val-required="Year field is required" id="Child_DateOfBirth_Year" name="Child.DateOfBirth.Year" type="text" pattern="[0-9]*" inputmode="numeric">
                            </div>

                        </div>
                    </fieldset>

                </div>


                <div class="form-group">
                    <h4 class="heading-small">If you are unable to give us your National Insurance number attach proof of benefit</h4>
                    <p>For Child Tax Credit a full copy of your current TC602 Tax Credit award notice</p>
                    <p>For the following benefits you must provide a letter of entitlement dated within the last 6 weeks</p>
                    <ul>
                        <li>Employment and support allowance (income based)</li>
                        <li>Income support</li>
                        <li>Job seekers allowance (income based)</li>
                        <li>The Guarantee element of state pension credit</li>
                        <li>Support under part VI of the immigration and Asylum Act 1999</li>
                        <li>The full amount of working tax credit</li>
                    </ul>
                    <p>All pages of the document must be provided</p>
                </div>

                <div class="form-group">
                    <button class="button">Upload your file</button>
                </div>
            </div>

            <label class="block-label" for="faith" data-target="faith-fields">
                <input id="faith" type="checkbox" name="faith" value="Faith"> Faith
            </label>

            <div class="panel-indent js-hidden" id="faith-fields">
                <p>Free home to school transport will be provided if your child is a regularly practicing member of a church of the same faith as the school and the school is over the minimum distance from their home address</p>

                <div class="form-group">
                    <label for="vicar-or-priest-name">
                        <span class="form-label-bold">Vicar or Priest name</span>
                    </label>
                    <input class="form-control" id="vicar-or-priest-name" name="faith-vicar-or-priest-name" type="text">
                </div>

                <div class="form-group">
                    <label for="church-name">
                        <span class="form-label-bold">Church name</span>
                    </label>
                    <input class="form-control" id="church-name" name="faith-church-name" type="text">
                </div>

                <div class="form-group">
                    <label for="email-address-optional">
                        <span class="form-label-bold">Email address (optional)</span>
                    </label>
                    <input class="form-control" id="email-address-optional" name="faith-email-address-optional" type="text">
                </div>

                <div class="form-group">
                    <label for="phone">
                        <span class="form-label-bold">Phone</span>
                    </label>
                    <input class="form-control" id="phone" name="faith-phone" type="text">
                </div>

                <div class="form-group">
                    <label for="property-name-or-number">
                        <span class="form-label-bold">Property name or number</span>
                    </label>
                    <input class="form-control" id="property-name-or-number" name="faith-property-name-or-number" type="text">
                </div>

                <div class="form-group">
                    <label for="road">
                        <span class="form-label-bold">Road</span>
                    </label>
                    <input class="form-control" id="road" name="faith-road" type="text">
                </div>

                <div class="form-group">
                    <label for="area">
                        <span class="form-label-bold">Area</span>
                    </label>
                    <input class="form-control" id="area" name="faith-area" type="text">
                </div>

                <div class="form-group">
                    <label for="town">
                        <span class="form-label-bold">Town</span>
                    </label>
                    <input class="form-control" id="town" name="faith-town" type="text">
                </div>

                <div class="form-group">
                    <label for="county">
                        <span class="form-label-bold">County</span>
                    </label>
                    <input class="form-control" id="county" name="faith-county" type="text">
                </div>

                <div class="form-group">
                    <label for="postcode">
                        <span class="form-label-bold">Postcode</span>
                    </label>
                    <input class="form-control" id="postcode" name="faith-postcode" type="text">
                </div>
            </div><!-- .panel-indent -->
        </fieldset>
    </div>

    <div class="form-step-buttons">
        <a href="free_school_transport_part_2" class="button left">Previous</a>
        <button type="submit" class="button right">Continue</button>
    </div>

</div>
</form>