Housing Benefit and Council Tax Support childcare costs certificate

This form will ask you to provide

your details including National Insurance number
your Housing Benefit or Council Tax Support reference number (if known)
childcare provider contact details and address where the care is provided
the type of care that applies to you.

You need to provide a signed letter from the childcare provider stating:

their full name
their OFSTED or KCC registration number
their position
for all children under the age of 15, or 16 years old if the child is disabled, for whom they provide childcare:
- the term-time weekly charge after government funding and meals have been deducted
- the date the childcare started as this rate
- the number of weeks per year that the child is cared for at the term-time rate
- the weekly charge during school holidays (excluding meals)
- the number of weeks per year at school holiday rate.

You can upload this letter to this form now or you can send them later but we won't process your application until we have received your proof. You must send your proof within the next two weeks otherwise we will cancel your application and you will need to reapply, if you wish to do so.

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Privacy Statement

To provide this service Thanet District Council will collect and process personal information. We may check some of the information with other sources (e.g. government departments and other councils) to verify your identity and ensure that the information you have provided is accurate.

Your personal information is being processed because it is necessary for compliance with a legal obligation or for the performance of a task carried out in the public interest.

Please refer to our Corporate Privacy Notice for further details on how we process your personal information and your rights. This is also available in other formats (e.g. print).

Declaration

Please check the box below to confirm that you have read, understand and agree to the following statements before completing this form:

I confirm the details I will give are correct and that the documents I will upload as proof are original copies and have not been edited in any way.
I confirm that I will notify you of any relevant changes straight away.
I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.
I understand my data may be shared with other departments as permitted by law.

About you (the claimant)

Title (for example Mr, Mrs, Ms, Miss)(Required)

First name(Required)

Last name(Required)

Contact phone number(Required)

We ask for your phone number so we can call you or send you important text messages (if we need to) about your claim

Housing Benefit or Council Tax Support reference number (if known)

National Insurance number(Required)

Please enter your email address(Required)

We will use your email address to send the receipt of your form, including the form reference number. This may include personal data. We will also use your email address to contact you about your benefit claim and Council Tax account.

Enter Email Confirm Email

Would you like to receive your Housing Benefit, Council Tax Support notifications and Council Tax bills by email?(Required)

Yes

No

You can receive your Housing Benefit, Council Tax Support notifications and Council Tax bills by email rather than post. We will send all future Housing Benefit and Council Tax Support notification letters and Council Tax bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at thanet.gov.uk/paperless

About your address

Postcode(Required)

Search Postcode

Hidden

address(Required)

Your address

House name or number(Required)

Street name(Required)

Town(Required)

Postcode(Required)

About the childcare provider

Full name or company name of the childcare provider(Required)

Contact phone number of the childcare provider(Required)

Address of the childcare provider

House name or number(Required)

Street name(Required)

Town(Required)

Postcode(Required)

About the care provided

Please choose the type of childcare that applies to you(Required)

Other - please describe the type of care(Required)

Is the childcare provider's address the address where care is provided?(Required)

Yes

No

Address where care is provided

Please tell us where care is provided (such as your home or at a nursery)(Required)

House name or number(Required)

Street name(Required)

Town(Required)

Postcode(Required)

Upload proof

You need to provide a signed letter from the childcare provider stating :

their full name
their OFSTED or KCC registration number
their position
for all children under the age of 15, or 16 years old if the child is disabled, for whom they provide childcare:
- the term-time weekly charge after government funding and meals have been deducted
- the date the childcare started as this rate
- the number of weeks per year that the child is cared for at the term-time rate
- the weekly charge during school holidays (excluding meals)
- the number of weeks per year at school holiday rate.

You can upload this letter to this form now or you can send them later but we won't process your application until we have received your proof. You must send your proof within the next two weeks otherwise we will cancel your application and you will need to reapply, if you wish to do so.

Will you upload the letter from the childcare provider to this form now?

I will upload the letter to this form now

I can't upload the letter to this form now, I'll send it within the next two weeks

Upload proof letter(Required)

Drop files here or

Max. file size: 32 MB, Max. files: 3.

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