HB FSM Free school meals and school clothing allowance application Overall form progress: 14% Complete If you need an award of free school meals immediately, you can visit the one stop shop with your proof of income and a provisional letter can be issued.Complete this form to apply for free school meals and school clothing allowance. DO NOT use your back button. Use the buttons at the bottom of the page instead. All fields marked with * are mandatory fields.The more information you can provide, the easier it will be for us to respond or contact you again if we need more information. The information you supply will only be used to process your request. Information will be passed to third parties where they are providing the service on behalf of Bolton Council or if we are required to do so by law. To find out more please read our privacy notice. * Title Mr Mrs Miss Ms Dr Sir Lord * Forename * Surname * Please enter the postcode to find the address Telephone Number (provide the area code and leave no spaces for example 01204333333) * Date of birth * National insurance number * Please indicate one of the following incomes you are receiving? Income Based Job Seekers AllowanceIncome Related Employment Support AllowanceIncome SupportPension Credit - Guarantee CreditSupport under part VI of the Immigration & Asylum Act 1999Child Tax Credit (no Working Tax Credit) & annual income under £16,190 on HMRC award letterUniversal Credit - from 1st April 2018 your net earned income must be less than £7,400 a year If you have ticked Universal Credit and you have earnings included in your recent assessment period, please enter your take home pay as stated in your UC award letter (section 3) If you are receiving any of the incomes listed above, you will need to provide proof by attaching documents to this form, or at any of our Access Points. If they are not good enough quality we may ask you to provide the original document. Please indicate how you will provide proof.This should be sent by email to housing.benefits@bolton.gov.uk. I will provide proof within 1 calendar monthI will upload the documents now (use Select Files below). * How many children do you wish to claim Free School Meals / School Clothing Allowance for? (We ask about them on the next page) 1 2 3 4 More than 4 Claim Reference Number Form Navigation