Benefits - Child Care Payments

This form has 6 pages

Benefit Claimants - Only your childcare provider can complete this form for you

Childminders - In order for us to process this form we require:

- The form to be signed
- Evidence of your child minder registration number

We will e-mail you a copy of the completed form so you can sign it.  This will then need to be printed and returned to us with your evidence. 

Alternatively, you'll be able to e-mail a signed and scanned copy to along with the evidence above scanned to us.