We advise using a desktop PC or laptop to complete your application. The application form is only available online and cannot be saved so please ensure you have all your supporting evidence before you start.
Please select one of the options below:
All parents, or co-habiting couples, in the household work the equivalent of at least 16 hours at national living wage
or national minimum wage;
One parent is employed and one parent has substantial caring responsibilities based on specific benefits received for caring;
Both parents are employed but one or both parents are temporarily away from the workplace on parental, maternity, paternity or adoption leave;
Both parents are employed but one or both parents are temporarily away from the workplace on statutory sick pay;
One parent is employed and one parent is disabled or incapacitated based on receipt of specific benefits;
None of the above