Parent Declaration for Early Education Funding (EEF)

*You must show evidence of the child's legal name and DOB (i.e. Birth Certificate, Passport or other evidence)

Parent / Carer 1

Parent / Carer 2 (if applicable)

Entitlement Guidelines

• EEF hours can be claimed between 6am and 8pm up to a maximum of 10 hours.
• Parents can access the funded entitlement at a maximum of 2 sites in any one day.
• If applicable, parents must reconfirm their eligibility with HMRC every 3 months to access the working parent entitlement.
• The Local Authority reserves the right to suspend funding if the provision does not meet the required quality as rated by Ofsted.
• Depending on how many funded hours have been claimed in the previous two terms, the annual entitlement could be reached before the end of the third term in the year; check with your childcare provider.
• Periods of extended leave - 2 weeks or more: The maximum paid absence for a child from a provision when claiming EEF funding is two weeks. If you chose to remove your child for 2 weeks or more in one term, EEF funding will not be paid and you may be charged by your provider for any sessions you have attended.

Disability Access Fund (DAF) £910

Children in receipt of Disability Living Allowance (DLA) and in receipt of EEF are eligible for DAF. DAF is an additional annual funding paid to the child's nominated setting. If eligible, please provide a copy of the DLA Award letter to your provider.

If 'Yes' the provider will need to apply for DAF online via the Early Years Portal and a copy of the child's most recent DLA award letter will need to accompany the application.

If the child attends 2 or more providers the parent will nominate the provider that will receive the funding, as it can only be paid to one provider.

Early Years Pupil Premium (EYPP) 68p p/hour

The Early Years Pupil Premium (EYPP) is an additional sum of money paid to childcare providers for children of families in receipt of certain benefits. This funding will be used to enhance the quality of your child's early years' experience. For more information, please speak to your childcare provider.

EYPP is only payable on the first 15 hours of EEF.

CLA refers to a looked after child. The term 'previously looked after children' refers to children who have been in the care of an English or Welsh local authority and have ceased to be looked after under a Child Arrangements Order, Special Guardianship Order or Adoption Order.

• The parent / carer must sign this form give consent to share personal information in line with current Data Protection legislation and for the purpose of claiming EEF and other additional supplements.
• Sections for hours and weeks must be completed once the parent and childcare provider have agreed the funded hours that will be claimed.
• This parent declaration is for the purpose of claiming Early Education Funding and does not replace the contract you may have with your Early Years Provider.
• Funding information must be completed each term.
• Settings MUST sign the setting declaration to confirm that the relevant documents and information needed to make an EEF claim have been received.

I have read the Privacy Notice below and understand that any information shared with Herefordshire County Council will be stored in accordance with Data Protection Legislation.

I certify that the information given on this form is accurate to the best of my knowledge. I understand that if I give false information or fail to declare my full circumstances, Herefordshire County Council may withdraw the funding for my child and take criminal proceedings against me.

I understand that if my child does not consistently attend for the agreed amount of funded hours, the funding could be reduced or removed in full, meaning that I could incur private costs with my provider.

In addition, I agree that the information I have provided can be shared with the local authority and Department for Education (including the Eligibility Checking Service), who will access information from other government departments to confirm my child's eligibility and enable this provider to claim Two Year Old Funding, Working Parent Entitlements, Early Years Pupil Premium (EYPP) and/or Disability Access Fund (DAF) on behalf of my child.

Parent/Carer with legal responsibility

Funding is calculated over an academic year.

Children starting their funding during Spring or Summer Term will have their allocation reset in Autumn Term. Please complete the below for the applicable term:

Summer Term 2025 - starts 28th April

All year funding is 18 weeks / Term time is 11 weeks

Setting Declaration

It is acknowledged all relevant documents have been received and reviewed to permit an EEF claim.

If any of the following reasons prevent a successful claim for EEF, the setting will not penalise the parent/carer and any fees accrued will be met by the setting.

• Failure for the setting to meet specified deadlines.
• Failure for the setting to check and understand eligibility code entitlements before the start of term.
• Failure for the setting to check and understand eligibility code commencement dates before Headcount Week.
• Incorrect funding information recorded on the Provider Portal by the setting.

Privacy Notice

Information that you supply to your childcare provider will be shared with other organisations including Herefordshire County Council. The Local Authority will use the information you provide in order to:-

• Deliver our services and understand your needs.
• Maintain and update your customer records or contact details.
• Contact you where necessary in relation to the provision of this service.
• Obtain your opinion and feedback about the services we provide.
• Ensure that we fulfil our legal obligations.

Your information may also be shared with other Local Authorities, Childcare Providers and the Department for Education for audit funding requirements or where there is a legal basis to do so.*

Herefordshire Council collects and processes your data for the purposes of checking your eligibility for the 2 year- old, or 3 & 4 year old funded and extended funded entitlements, Early Years Pupil Premium (EYPP), Free School Meals (FSM) or Disability Access Fund (DAF), Herefordshire Council is exercising the function of a government department. Herefordshire Council is authorised to collect this data pursuant to Section 13 of the Childcare Act 2006.

Your data may be shared with the Department for Education, Department for Work and Pensions, neighbouring Local Authorities and Her Majesty's Revenue and Customs to confirm your child's eligibility and enable Lake View Nursery to claim early years funding on behalf of your child.

If you wish to exercise any of your rights under the General Data Protection Regulations, please contact the Early Years Team at emily.garner@herefordshire.gov.uk

Information on how Herefordshire County Council process your information can be found here: Nursery education funding and early years pupil premium privacy notice - Privacy notices - Herefordshire Council

Your Rights

You have a number of rights under data protection law, including the right to request your information and to request that the information be amended or erased if incorrect.

To request your records, you will need to put your request in writing and provide proof of identification to the Information Governance Team, Herefordshire Council, Plough Lane, Hereford HR4 OLE or via email to informationgovernance@herefordshire.gov.uk

You also have a right to make a complaint about our handling of your personal data to the Information Commissioner's Office: https://ico.org.uk/