Grant Application Form

You should only complete this form if you are already registered with the Police Children’s Fund or if the charity has asked you to submit an application. All new enquiries for assistance should be directed to the fund manager here.

Child's Details

First name	Last name	Date of Birth	Age

Monthly Household Income
Monthly earnings – applicant (net)
Monthly earnings – other household members (net)
Pensions (police / state / occupational / other)
Police pension (children)
please detail at the end of the form if the children’s pensions are used or saved
Other income (bereavement support / other police charities / CSA / property rental / bank savings interest / other)
Details of other Income (please itemise)
Benefits and credits – monthly total (child benefit / universal credit / ESA / PIP / other)
Total monthly income and benefits

Finance Agreements / Loans / PCP
Please do not include credit cards used for items already listed under Monthly Household Expenditure

Purchase Details
Details Amount per month Date of final payment

Additional information to support the application for charitable assistance
*
I declare that the information provided on this form is accurate to the best of my knowledge and that false or inaccurate information could result in my application being denied
Please confirm your consent to collect/use your personal information*
I give my consent for the collection and processing of my personal information in accordance with Police Children’s Fund’s Privacy & Data Protection Policy

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Grant Application