Your details Title —Please choose an option—MrMrsMissMsMxOther Other First name * Last name * Date of birth * National insurance number I don't have a National Insurance number, I am an asylum seeker Address line 1 * Address line 2 * Postcode * When we need to contact you, how would you prefer we do it? EmailPhoneI don't mind Phone number * Your Email * Your Email * Phone number * Your Children's details First name * Last name * Gender * Child's relationship to you * Date of birth * Name of school * Add 2nd child (optional) First name Last name Gender Child's relationship to you Date of birth Name of school Add 3rd child (optional) First name Last name Gender Child's relationship to you Date of birth Name of school Add 4th child (optional) First name Last name Gender Child's relationship to you Date of birth Name of school Note: if you have more children please use an additional form. Please read this declaration carefully before you submit your form. I understand that this claim is made to you, Cardiff County Council and that you are able to process my personal date as you have a legal requirement to do so I declare that the information I have given on this form is correct and complete as far as I know and believe. I understand that if I knowingly give information that is incorrect or incomplete, I may be liable to prosecution or other action. I understand that you will collect, store and use the information I have provided to process my claim for Free School Meals; to contact me about other services I may be entitled to; and to prevent fraud. I agree you may check some of the information with other sources such as the Department of Work and Pensions or other Council Departments ( This list is not exhaustive) I understand that you may use any information I have provided in connection with this and any other claim for social security benefits that I have made or may make. You may give some information to other organisations, such as government departments, local authorities and private sector companies such as banks and organisations that may lend me money, should the law allow this. I know that I must let you know in writing straight away about any change in my circumstances which might affect my claim. I have read the declaration