Useful forms for early years providers
Early years provider funding forms.
Funding headcounts require that parents/carers of funded children must complete a declaration form for the first funded period that their child attends a registered setting.
The declaration form is available below for you to pass on to the parents/carers of all children accessing funding at your establishment for completion.
Parents/carers must complete this form in advance of their child's first funded term at your establishment. You should then transfer the detail given onto the child's actual record on the Early years and childcare providers portal and submit this detail to our Early Years Funding Team.
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Parent/carer declaration form (PDF version) (PDF, 172.3kb)
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Parent/carer declaration form (word version) (DOC, 109.0kb)
Step-by-step guide on what needs completing for each section of the form
Section 1
Parents/carers should complete this with the funded child's details (including ethnicity - see
Ethnicity codes (PDF, 132.8kb)
). Proof of ID confirming the date of birth of the child (e.g. birth certificate or passport) should be given to you to be verified.
Section 2
The parent/carer of the funded child should complete this section including their date of birth and national insurance number. This detail is mandatory for an eligibility check to confirm qualification for early years pupil premium (three and four-year-old children only). For 30 hours extended entitlement we require the parent's national insurance number only.
For those children accessing a funded two-year-old place, we require the parent/carer national insurance number only.
Section 3
Please confirm the age-group you are claiming funding for. Funded two-year-old children need to go through an eligibility process. Universal entitlement (no qualifying process) is available to all three and four-year-olds based on date of birth qualification. Those three and four-year-olds wishing to access the 30-hour extended entitlement need to go through an eligibility process.
You can also use this section to apply for any additional funding claims for Disability Access Fund (DAF) and Early Years Pupil Premium (EYPP). By ticking the relevant box, the parent is giving the council approval to do an eligibility check on the details provided on this form (both are for three and four-year-olds only). Qualification is not universal and is subject to eligibility checks.
Section 4
You should complete this section and confirm you have verified the necessary documentation for sections one to three and any eligibility codes for 30 hour extended entitlement or for a two-year-old funded place.
Section 5
Parents need to declare all the settings (a maximum of three in any one funded period) and the days of the week attending each setting along with the hours per week at each setting and indicate any stretched funding allocation if applicable.
If a child is accessing more than one provider, then the setting needs to take a copy of this form and forward this to our Early Years Funding Team. Otherwise, for those accessing only one setting, you must retain this document for potential audit checks for a period of three years.
If a child qualifies for Disability Access Fund (DAF), and that child is accessing more than one setting, then the parent/carer needs to nominate the setting to receive the funding as it cannot be split across more than one provider.
If there are any potential funding disputes between providers over the hours/weeks of attendance of a funded child, then these will be determined by the council and evidence to validate a child's attendance may be requested.
Section 6
This should be signed by you and the parent/carer.
Use this form to tell us of your nominated bank or building society account in which you would like to receive your early years payments.
| Column | Field Name | Explanation |
|---|---|---|
| A | Provider Name | Name of early years setting |
| B | Base Rate | The three to four-year-old base rate for the financial year |
| C | Deprivation Supplement | The Deprivation Supplement applied to each early years setting |
| D | Quality Supplement | The Quality Supplement applied to each early years setting |
| E | Maintained Nursery School Supplement | The Supplement applied to each maintained nursery school |
| F | Overall Funding Rate - Universal Hours for Financial Year | Overall funding total applied to each early years setting on universal hours for the financial year |
| G | Overall Funding Rate - Extended Hours for Financial Year | Overall funding total applied to each early years setting on extended hours for the financial year |
| H | Deprivation Rating | The Deprivation rating applied to calculate the hourly rate |
| I | Deprivation Band | The Deprivation band applied based on Deprivation Rating |
| J | Quality Supplement Band | The Quality Supplement rating applied to calculate the hourly rate |
| K | Description of Deprivation Band and Quality Supplement | The Deprivation and Quality Supplement scores used to calculate the bands |
| L | Description of Deprivation Band and Quality Supplement Rates | The Deprivation and Quality Supplement bands used to calculate the hourly rates |
| M | Total of Deprivation Band Hourly Rates and Quality Supplement Hourly Rates | The Deprivation and Quality Supplement hourly rates |
- Early years funding
- EYFunding@durham.gov.uk
- 03000 262 789
