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Further information about the scheme is available at: www.kent.gov.uk/kentfreedompassphone: 0300 333 5540 or email: kentfreedompass@kent.gov.ukTransport Integration, Aylesford Highways Depot, St Michaels Close, Aylesford, Kent ME20 7TZ

For office use

For exemption endorsement:

Please tick this box if you are renewing your Kent Freedom Pass (KFP)

Existing KFP number (shown top left of current KFP)

Pupil Details (as shown on current KFP)

First name Last name Date of birth

Main residence address

Post code Gender (M/F)

Secondary school attended Academic year group from September

Pupil signature Date

Parent/Carer Details

First name Last name

Contact telephone number (incl. area code) Mobile

Email ress (for important news and to apply online in future) add

Parent/Carer signature Date

Please return this form, along with a passport-sized photograph (new applicants only) and payment (see over), to the address below.By signing this form you are agreeing to the Terms and Conditions of the scheme which are available at www.kent.gov.uk/kentfreedompass. The Council reserves the right to withdraw Kent Freedom Passes due to misuse or fraud. If your circumstances change and you are no longer

eligible to hold a KFP, you will be required to return it.

Travel arrangements

Without a KFP I would typically travel to school by: (please tick ONE mode of transport only)

Walking Cycle Bus Train

Coach/minibus/taxi Car Car share Other

Who currently pays for your school transport?

Kent County Council Pupil/Parent/Carer

I intend to use the KFP mainly to travel at: (please tick ONE only)

School times Evenings Weekends

This information is for data collection purposes only and does not affect how the KFP may be used.

Standard fee £100 £50Free School Meals

Exempt from fee

Title (Mr/Mrs/Miss/Ms/Other)

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Further information about the scheme is available at: www.kent.gov.uk/kentfreedompassphone: 0300 333 5540 or email: kentfreedompass@kent.gov.ukTransport Integration, Aylesford Highways Depot, St Michaels Close, Aylesford, Kent ME20 7TZ

New Kent Freedom Pass (KFP) applicationsKent Freedom Passes will be sent to school for collection by the named pupil and between October and May will typically beprocessed within fifteen working days. Between June and October, alternative timescales apply as advertised on the KFP website.New Year 7 pupils will not be issued with a KFP until the pupil is attending secondary school.

RenewalsRenewed passes will be sent to the school and will be exchanged for expired passes. Your renewal application must be received before the specified date for your new pass to be available from school in the first week of term. You do not need to include another photograph.

Kent County Council will not be liable for any costs associated with submitting an application or for any expense incurred whilst awaiting receipt of your pass. If you have not received the KFP within 28 working days of your application, please contact us.

Lost, stolen or damaged passesWhere the pass has been lost, stolen or damaged, a replacement pass will be issued subject to the current replacement fee. Should the replacement pass be lost, stolen or damaged, two further replacements will be issued upon payment of the replacementfee. Thereafter you may make a new application at our discretion and the appropriate application fee will apply.

Pupils with Home to School travel passesPupils who hold free home to school travel passes (except rail) must exchange their current pass at school when they collect their new KFP. In order that the pupil may continue with their current travel arrangements, we will print details of this entitlement on their KFP and this will be accepted on their current service.

PaymentPlease enclose a cheque or postal order made out to Kent County Council for the appropriate application fee. Please do not send cash by post. The application fee will not be waived under any circumstances and applies irrespective of the date of application. Application fee refunds will not be issued.

Terms and ConditionsFurther information and full terms and conditions are available at www.kent.gov.uk/kentfreedompass or by request from the address below. By applying for the KFP you acknowledge that you have read and accept these terms.

The information you provide on this form is collected and dealt with in compliance with the Data Protection Act 1998. It will be used by Kent County Council to administer and manage the Kent Freedom Pass Scheme (including the detection

and prevention of fraud) and will be shared with the transport provider(s) of the scheme for the same purposes.

Checklist for applying for a KFP

Have you completed all the sections of the form?

Have you enclosed the appropriate payment?

Have you enclosed a current passport-sized photograph of the pupil? (new applicants only)

Please note that incomplete/inaccurate applications or unsuitable photographs will be returned.

To apply pupils must fulfill the following requirement at all times:

A resident of Kent, paying Council Tax to a Kent district council for KCC services

Depending upon circumstances, you will be eligible to apply at one of the following fees: - In academic year 7-11* at a school or other recognised institution

- In receipt of Free School Meals in academic year 7-11* at a school or other recognised institution0

£100

* Children who by age would ordinarily be in year 11 but have been put forward into year 12 are also eligible

£5

Young Carers, Young People in Care and Care Leavers should contact their relevant support organisation before submitting an application.