Edinburgh Police Fund for Children Application Form

Edinburgh Police Fund for Children
Information and Criteria for Applications

The priority of the Fund is ONLY the provision of school shoes and warm jackets to children of school age

The beneficiary must be resident in the City of Edinburgh
Families are encouraged to be referred by a third party worker including Social Worker, Health Visitor, Community/District Nurse, Support Worker or a Head/Guidance Teacher
Where a family self refers, a home visit assessment will be undertaken by a Police Officer
Grant awards are for up to £50 per child. In the case of self-referrals, a voucher will be provided
A receipt evidencing the purpose of the requested items should be returned to the Trust Administrator within 4 weeks of receiving the grant. Any unpaid or unsused portion of the grant should be returned within three months
Due to very high demand, the maximum number of applications per school is 10 per year
In the event of the Trustees deciding to alter the scope of the Scheme, detailed information will be published on this page of the website

* indicates a required field that must be completed to submit the application.

I wish to make an application for finanical assistance on behalf of:

First Name *

Surname *

If there is another name in the family, please state.

Is the family in receipt of income related state benefits?

Address 1 *

Address 2

Town/City *

Address 3

Post code *

Family Details

Parent 1/Carer Name*

Parent 1/Carer DOB *

[ 15/12/2018 ]

Parent 2/Carer Name

Parent 2/Carer DOB[ 15/12/2018 ]

Child 1 Name *

Child 1 DOB *

[ 15/12/2018 ]

Child 2 Name

Child 2 DOB[ 15/12/2018 ]

Child 3 Name

Child 3 DOB[ 15/12/2018 ]

Child 4 Name

Child 4 DOB[ 15/12/2018 ]

Child 5 Name

Child 5 DOB[ 15/12/2018 ]

How much is the grant for? Please note the maximum amount is £50 per child. *

Please enter the estimated costs for the clothing

Postholder Details

In order to process this application, applications should come via a third party. We require the details of the person at this Agency/Organisation to process the grant. This person shall be referred to as the postholder for the remainder of the application form.

First Name *

Surname *

Email Address *

Telephone Number *

Job Title *

Agency Name *

Agency Address 1 *

Agency Address 2

Agency Town/City *

Agency Address 3

Agency Post Code *

Agency/Organisation Finance Person Contact Details

Please enter the details of the Finance person from the postholders Agency/Organisation who will be processing the funds.

First Name *

Last Name *

Email Address *

Telephone Number *

Position *

Agency Name *

Address 1 *

Address 2

Town/City *

Addess 3

Post Code *

Agency/Organisation Bank Details

Please enter the bank accounts details of the postholders Agency/Organiation where the grant will be paid to if successful.

Name of Bank *

Name on Account *

Sort Code *

Account Number *

Edinburgh Police Fund for Children Information and Criteria for Applications

Family Details

Postholder Details

Agency/Organisation Finance Person Contact Details

Agency/Organisation Bank Details

Data Protection Act

Edinburgh Police Fund for Children
Information and Criteria for Applications