Title

First name (required)

Last name (required)

Enter postcode below in the following format M27 5AD (required)

Contact telephone number (required)

Email

First name (required)

Last name (required)

Gender (required)
Female
Male

Name of childcare provider (required)

Enter postcode below in the following format M27 5AD (required)

Name of childcare provider you wish to transfer to (required)

Enter postcode below in the following format M27 5AD

Transfer to childcare provider (required)

Why do you want to request a transfer, please provide as much detail as possible (required)

I have spoken to my current childcare provider and arranged a leaving date with them. (required)
Yes
No

You should be aware that no transfer of funding will be authorised until the transfer has been agreed by all parties and that by submitting this request the learning and development records for your child will be shared with the new childcare provider if the transfer request is authorised.

You should also be aware that you would need to repay any fees if you have accessed any childcare during a notice period or where a transfer has not been agreed.

By choosing to submit this form you are agreeing for your information to be shared with relevant professionals within the Starting Life Well service and childcare providers. Your details will be held in accordance with the Data Protection Act 1998.