Paragraph 4 Declaration needed for application for benefit

(1)

A claim in respect of a pregnant woman, mother or child shall include a declaration signed by the claimant that:—

(a)

the person in respect of whom the claim is made or a member of that person’s family is entitled to—

(i)

income support;

(ii)

an income based jobseeker’s allowance; or

(iii)

child tax credit, where the relevant income of the person or persons to whom the award of child tax credit is made under section 14 of the Tax Credits Act 2002 is determined at the time of the award not to exceed £13,910, and the person is not entitled to working tax credit; and

(b)

the claimant understands the rules of the Healthy Start scheme and will abide by her obligations under the scheme.

(2)

If a claim is made by a pregnant woman under the age of 18, the declaration described in sub-paragraph (1) is not necessary.