CHILD DEPENDANT AGED 18+
DECLARATION OF CONTINUED ELIGIBILITY FOR RAIL STAFF TRAVEL FACILITIES

A declaration is required for children from the age of 18

* - Mandatory Field

Employee Details

Title*

First Name*

Last Name*

NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

Dependant Details

Title*

First Name*

Last Name*

Eligibility Code**

Date of Birth*

Attached Proof Document
(as required)

College/School/University Details (Mandatory for those in full time education)

Name of Educational Establishment

Postcode of Place of Education

**Eligibility codes (select value in box above)
1	Child under 25 in full-time education (you must add the name of the school/college/university). You can use this category for your child when they are: In Full Time Education with no income In Full Time Education and has never had a total gross income over the weekly limit (current limit is on our Useful Information page) - includes term time working. Please also disclose any income from temporary vacation working (period and amount) separately. Copies of last 3 months (or 13 weeks) of pay slips MUST be supplied.
2	Child under 25 that is currently unemployed and has never had a total gross income over the weekly limit (current limit is on our Useful Information page). You can use this category for your child when they are: In receipt of state benefits only as they are unemployed with no current employment Proof of unemployment and gross income MUST be supplied (employment history letter from HMRC). Unemployed and not in receipt of any state benefits A full description of the circumstances and proof of the absence of income and benefits MUST be supplied.
3	Child under 25 in employment and has never had a total gross income over the weekly limit (current limit is on our Useful Information page). You can use this category for your child when they are: On an Apprenticeship Copies of last 3 months (or 13 weeks) of pay slips MUST be supplied. Employed on a low income Copies of last 3 months (or 13 weeks) of pay slips MUST be supplied. On a zero hours contract Copies of last 3 months (or 13 weeks) of pay slips MUST be supplied together with details of the contract Self-employed and on a low income Evidence of last 3 months (or 13 weeks) of income MUST be supplied. Employed on a low income and in receipt of state benefits Copies of last 3 months (or 13 weeks) of pay slips and a copy of the latest benefit award MUST be supplied.
4	Child aged 25 or over, not in receipt of any benefits and with no income from employment whatsoever. You can use this category for your child when they are: Unemployed and not in receipt of any state benefits A full description of the circumstances and proof of the absence of income and benefits MUST be supplied (employment history letter from HMRC). Unemployed and not in receipt of any state benefits except disability benefits Proof of disability benefits received, as well as proof of unemployment and absence of income and benefits MUST be supplied.
5	Child aged 25 or over, in non-remunerative full-time education and with no income or benefits whatsoever. You can use this category for your child when they are: In Full Time Non-remunerative Education with no income whatsoever from employment and not in receipt of any state benefits Proof of both course enrolment/attendance and absence of income and benefits MUST be supplied (employment history letter from HMRC). In Full Time Non-remunerative Education with no income whatsoever from employment and not in receipt of any state benefits except disability benefits Proof of disability benefits received, as well as proof of both course enrolment/attendance and absence of income and benefits MUST be supplied.
Photo ID Cards: From the age of 16 child dependants of active employees must carry a Photo ID Card. These can be obtained free of charge by taking a passport office approved photo to any station booking office.

Additional Notes On Eligibility
Where the declaration is the first for a new child over 18 years or where there has not been continuous declarations each year for a child, then RST will require additional details including where they have been living and what they have been doing since age 18. This includes details of their income history from employment and/or benefits. Any loans from the Student Loans Company Ltd or national equivalent may be ignored for the purposes of income. However, any support or funding by an educational or commercial organisation (for example a bursary, stipend, grant or loan) must be included in any calculation of the weekly gross income. The name of College/School/Uni is mandatory for child dependants in education If a dependant no longer meets the eligibility criteria RST must be notified using the Dependant Card Not Required form Declarations for 16-17 year olds may additionally be requested at Rail Staff Travel's discretion

Additional Notes On Eligibility

Where the declaration is the first for a new child over 18 years or where there has not been continuous declarations each year for a child, then RST will require additional details including where they have been living and what they have been doing since age 18. This includes details of their income history from employment and/or benefits.

Any loans from the Student Loans Company Ltd or national equivalent may be ignored for the purposes of income. However, any support or funding by an educational or commercial organisation (for example a bursary, stipend, grant or loan) must be included in any calculation of the weekly gross income.

The name of College/School/Uni is mandatory for child dependants in education

If a dependant no longer meets the eligibility criteria RST must be notified using the Dependant Card Not Required form

Declarations for 16-17 year olds may additionally be requested at Rail Staff Travel's discretion

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I further confirm that my dependant has never been married or entered into a similar realtionship and that they are, and have been, continuously living with me (or only temporarily resident away from home in connection with education).
I apply for continued rail staff travel facilities for my dependant and have supplied any required evidence.
I understand that I am responsible for the correct use of my dependant's rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use which can be found at www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I further understand that Rail Staff Travel’s privacy information is available online at www.raildeliverygroup.com/rst/rst-privacy and that I have read it and have made my dependant aware of it.
If I am in any doubt about eligibility, I understand that I MUST check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself and all of my dependants.

Signed by Employee:

Date:

Form - Child Declaration - XX05 - This form is not valid for use after 31/03/2021

Once completed save the form with a filename of “YourLastname_Your Firstname_XX05_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point

CHILD DEPENDANT AGED 18+ DECLARATION OF CONTINUED ELIGIBILITY FOR RAIL STAFF TRAVEL FACILITIES

**Eligibility codes

Additional Notes On Eligibility

CHILD DEPENDANT AGED 18+
DECLARATION OF CONTINUED ELIGIBILITY FOR RAIL STAFF TRAVEL FACILITIES