Early Years Development Plan

Summary Claim Form - Spring Term 2000

Name of Group
Cost Centre
Contact person in case of queries
Contact address
Contact telephone number
Total no. of sessions claimed for
Detailed list of pupils claimed for	See attached list (Blue form)
Total funds claimed on this form at £75.32 A
Amount paid at the start of the term based on the interim claim B
Remaining amount claimed for this term = A - B

NOTES

Eligible pupils for the Spring Term 2000 are those with dates of birth between

1^st January 1995 - 31^st December 1995 inclusive. The full funding of £1,130 per year for these pupils is only available where pupils attend at least 5 sessions a week of at least 2½ hours each for at least 33 weeks of the year.

The pupils claimed for should be those registered as at 20^th January 2000. Later registrations should not be included - even if it is known that a pupil will be joining later in the term.

Where information is already pre-printed please check that it is correct and amend if necessary. Where boxes are blank please complete with the requested information. All the above information is required before any payment can be made.

The second payment will be made when information from all providers has been received and checked. This payment will equal the remaining amount shown in the shaded box above if no errors or double counting of pupils are found. Providers will be individually informed if any adjustments have been made.

Please return this form attached to the detailed list of your eligible pupils by 2^nd February 2000 to:

Management Accounts, Education Financial Services, Norfolk County Council, County Hall,

Martineau Lane, Norwich, NR1 2DL.

I certify that this claim (including the detailed list of eligible pupils) is a complete and accurate record of our pupils eligible for funding under the Early Years Development Plan.

Signature of authorised person .………………………………….

Date ………………………………….

Name of authorised person (please print) ………………………………….