Apply for free childcare for 2 year olds This form will take approximately 10 minutes to complete.Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later. The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.Please read the guidance notes (PDF, 337KB) before completing this form. Please complete this form as fully as possible, ensuring that you include the full address, name, gender and date of birth of each child you wish to claim for, along with ticking the relevant eligibility criteria and attaching evidence where requested. Please ensure you provide your National Insurance number or National Asylum Seekers Service number. Any forms submitted without this information will not be able to be processed.Page 1 of 2 Your data privacy Before completing this form please read our general Privacy Policy (opens in a new window). This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it. Parent or carer details Title * Select your title. Mr Mrs Miss Ms Mx Dr Other Other Enter your title if it is not listed above. First name * Enter your first name. Last name * Enter your last name. House name or number * Enter the address name or number. This could a flat, house or building name or number. Address line 1 Enter the first line of the address. This could be the street name. Address line 2 Enter the second line of the address if you need to. This could be the village name. Town or city Enter the town or city of the postal address. Postcode * Enter the postcode, with or without spaces. Email address Enter an email address where we can write to you. Phone number Enter a daytime phone number that we can ring you on. This can be a mobile or landline number. Alternative phone number Enter another phone number we can reach you on. This can be a mobile or landline number. Date of birth * Enter date of birth using numbers following the format dd/mm/yyyy, for example 01/12/1980. National Insurance or National Asylum Seekers Service number * Enter your National Insurance or National Asylum Seekers Service number.
