Form - Application for parental contribution allowance

Your name(Required)

your e-mail adress

Your child's name(Required)

Your child's date of birth(Required)

Statement from the parent or guardian(Required)

I give Kibeo permission to check the information provided in its own administration and that of the Youth Health Care (consultatiebureau)

Ik verklaar dat mijn gezamenlijk gezinsinkomen niet hoger is dan € 22.346,- per jaar

I will immediately pass on changes to Kibeo that may affect the amount of the contribution to the parental contribution

I declare that I have completed this form truthfully

Additional documents(Required)

We need the following documents: 1 | the most recent income tax assessment or the most recent annual statement 2| Referral letter from the consultation office

I send the documents by mail

I upload my documents via this form

Upload documents

Income tax assessment + reference letter from consultation bureau

Drop files here or

Max. file size: 1 MB.

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Please note: We cannot process your application until we have received these documents (as an attachment or by post).

Name

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Application form for parental contribution

Please note: We cannot process your application until we have received these documents (as an attachment or by post).

Please be aware!