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)

I declare that my joint family income is not higher than € 24,149 per year

I declare that my child is entitled to VVE (referral from the child health clinic) and that this has already been requested from the child health clinic

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

Name

This field is for validation purposes and should be left unchanged.

Application form for parental contribution

Please be aware!