MAX CARD APPLICATION
Card Validity: The cards are valid for up to 2 years and will have an expiry date on the reverse.
Lost Cards:
We do not replace lost cards, so please keep them safe.

Who can apply?

You can ONLY apply if you:

You are a parent carer of a child or young person with Special Educational Needs and/or Disabilities (SEND) aged between 0-25 years of age

Live in Central Bedfordshire

You are a SNAP PCF member.

Not a member yet? No problem, it’s quick and free to join.
Join here:Membership Form

If you have more than ONE child or young person with SEND, please complete a separate form for each of them.

Question Title

1. Which of the following applies to your child?
Please select all that apply. (Required.)

Education, Health and Care Plan (EHCP)

Disability Living Allowance (DLA)

Personal Independence Payment (PIP)

Clinical/medical diagnosis

Identified SEND/additional needs through school or education setting

Other evidence of SEND/disability

Currently undergoing assessment/investigation for SEND

None of the above

Other (please specify)

Question Title

2. Evidence
What evidence are you providing to confirm your child's SEND/disability? (Required.)

EHCP

DLA award letter

PIP award letter

NHS/medical professional letter

Letter/document from school or SENCO

Other appropriate evidence

Other (please specify)

Please provide your evidence
Please upload only the information needed to confirm your child's SEND or disability. You may redact information that is not relevant to confirming eligibility, including financial information, detailed medical information and information about other family members.
Examples of acceptable evidence include an EHCP, DLA/PIP award letter, NHS or health professional letter, or appropriate school/SENCO evidence such as a SEN Support Plan.
Please make sure your child's name is visible on the evidence.
Please do not upload your child's full medical history or other documents containing information that is not relevant to their eligibility.

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3. Please upload here: (Required.)

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4. Eligibility declaration
Please confirm: (Required.)

I confirm that I am the parent/carer of the child named above.

I confirm that the child lives in Central Bedfordshire.

I confirm that the information I have provided is accurate and that the evidence supplied relates to the child named on this application.

I understand that SNAP PCF may contact me if further information is reasonably required to confirm eligibility.

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5. Child/Young Person full name (Required.)

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6. Parents Name registered with SNAP PCF Membership

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7. Please provide the address you have registered with us as part of your membership. (Required.)

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8. Please provide your email address. (Required.)

Your evidence and privacy

The evidence you provide may contain information about your child's health, disability or SEND and may therefore constitute special category personal data under UK GDPR.

SNAP PCF will use this information only to verify eligibility for a Max Card and will restrict access to authorised individuals who need to carry out this check.

We will collect and retain only the information necessary for this purpose. Where possible, unnecessary information should be redacted before submission.

Supporting documents will not normally be retained once eligibility has been verified. Where a record of eligibility is sufficient, SNAP PCF will record that eligibility has been confirmed rather than retaining the full document.

MAX CARD APPLICATIONCard Validity: The cards are valid for up to 2 years and will have an expiry date on the reverse.Lost Cards: We do not replace lost cards, so please keep them safe.

Question Title

* 1. Which of the following applies to your child?Please select all that apply. (Required.)

Question Title

* 2. EvidenceWhat evidence are you providing to confirm your child's SEND/disability? (Required.)

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* 3. Please upload here: (Required.)

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* 4. Eligibility declarationPlease confirm: (Required.)

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* 5. Child/Young Person full name (Required.)

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* 6. Parents Name registered with SNAP PCF Membership

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* 7. Please provide the address you have registered with us as part of your membership. (Required.)

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* 8. Please provide your email address. (Required.)

MAX CARD APPLICATION
Card Validity: The cards are valid for up to 2 years and will have an expiry date on the reverse.
Lost Cards:
We do not replace lost cards, so please keep them safe.

1. Which of the following applies to your child?
Please select all that apply. (Required.)

2. Evidence
What evidence are you providing to confirm your child's SEND/disability? (Required.)

3. Please upload here: (Required.)

4. Eligibility declaration
Please confirm: (Required.)

5. Child/Young Person full name (Required.)

6. Parents Name registered with SNAP PCF Membership

7. Please provide the address you have registered with us as part of your membership. (Required.)

8. Please provide your email address. (Required.)