Household Support Grant Voucher

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Instructions

Privacy Notice

All information will be used by Mansfield District Council for the intended purposes only. For more information on our privacy notice please view our privacy notice (opens in a new window)

This form should only be completed by nominated or assigned professionals who have identified eligible households living within the Mansfield District Council area.

Form introduction

The objective of the Household Support Fund is to provide support to households who are in immediate need.

The scheme will focus support primarily to food and energy and essentials.

Eligibility Criteria: Non-pensioner Households with or without Children

Eligible households are those that are in immediate need and fit in one of the following categories:

  • Households that are
    • in arrears with their utilities or
    • using or have been using a food bank or
    • have been identified as being in immediate need by a professional service and
    • are in receipt of Housing Benefit or Council Tax Support or
    • experiencing considerable in work poverty
  • Care leavers up to the age of 25
  • Young people with an Education Healthcare Plan aged 19-24 who are eligible for Free School Meals
  • 2-year old’s accessing a funded childcare place.
  • Universal Credit
  • Income based Job Seekers Allowance (JSA)
  • Income based Employment Support Allowance (ESA)
  • Income Support
  • Pension Credit
  • Working Tax Credit
  • Child Tax Credit

 

Eligibility Criteria: Low Income Households with children under 5, not eligible for funded childcare and not in receipt of Free School Meals

Eligible households are those with children under 5, that are in immediate need and fit in one of the following categories:

 Low income households with children under 2 not attending child care settings

  • Low income households with a 2, 3, or 4 yr old not accessing childcare entitlements or early years pupil premium.
  • Known to domestic abuse services.
  • Assessed by a professional as in urgent need for food or energy

 

In order to administer the scheme we need to share the information collected on this form with Nottinghamshire County Council. Please see the Nottinghamshire County Council privacy statement for more information.

Is the person being referred living in the UK on a visa with no recourse to public funds? Required
I consent for you to share my details with Nottinghamshire County Council in accordance with their privacy notice Required