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*

Work 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: A - In Full Time Education and not working, or B - In Full Time Education and has never had a total gross income during term time over the weekly limit. The limit for the 22/23 financial year is £156.85 and for 23/24 is £165.60. (Earnings outside of term time can be more than this). C - In Full Time Education but previously earned over the weekly threshold so now has to prove has no earning. Please attach the following a letter from the educational establishment showing the start and end dates of the course and confirming it is a full time course and: Additionally for ‘B’ above - copies of the last 3 months (or 13 weeks) consecutive pay slips. Additionally for ‘C’ above - If they are in their first year of their course you will also need to provide a copy of their P45 as proof they are no longer working and an OCA41 (employment History Letter from HMRC). If they are in the second year of their course or later only the OCA41 is additionally needed.
2	Child under 25 that is currently unemployed and has never had a total gross income over the weekly limit. The limit for the 22/23 financial year is £156.85 and for 23/24 is £165.60. 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 Unemployed and not in receipt of any state benefits Please attach the following: Proof of unemployment i.e. letter from DWP confirming state benefits (if in receipt of them) AND Employment history letter from HMRC (OCA41) see https://www.gov.uk/get-proof-employment-history
3	Child under 25 in employment and has never had a total gross income over the weekly limit. The limit for the 22/23 financial year is £156.85 and for 23/24 is £165.60. You can use this category for your child when they are: On an Apprenticeship Employed on a low income On a zero hours contract Self-employed and on a low income Employed on a low income and in receipt of state benefits Please attach the following: Copies of last 3 months (or 13 weeks) consecutive pay slips AND If in receipt of state benefits, a copy of the latest benefit award letter.
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 Unemployed and not in receipt of any state benefits except disability benefits Please attach the following: Proof of the absence of income and benefits (Employment History letter from HMRC (OCA41) see https://www.gov.uk/get-proof-employment-history If in receipt of disability benefits, a copy of the latest disability benefits award.
5	Child aged 25 or over, in full-time education who is not employed and not in receipt of any benefits whatsoever (except disability benefits). Please attach the following: An enrolment letter from the educational establishment showing the start and end dates of the course AND Employment history letter from HMRC (OCA41) see https://www.gov.uk/get-proof-employment-history AND If they are in their first year of their course you will also need to provide a copy of their P45 as proof they are no longer working and an OCA41 (employment History Letter from HMRC). If they are in the second year of their course or later only the OCA41 is additionally needed. If not in full time education, a copy of the latest disability benefits award letter.
Photo ID Cards: From the age of 16 child dependants of active Safeguarded employees who hold a Staff Travel Card 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 been a gap in declarations each year, you must provide an OCA41 (employment History Letter from HMRC) covering the period from age 18 to present. RST will require additional details including where they have been living and what they have been doing since age 18. 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 and you must provide proof of their enrolment on a full time course. This is required for each educational establishment they attend. If a dependant no longer meets the eligibility criteria RST must be notified using the Dependant Card Not Required form - failure to do so can put your rail staff travel facilities at risk. 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 been a gap in declarations each year, you must provide an OCA41 (employment History Letter from HMRC) covering the period from age 18 to present. RST will require additional details including where they have been living and what they have been doing since age 18.

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 and you must provide proof of their enrolment on a full time course. This is required for each educational establishment they attend.

If a dependant no longer meets the eligibility criteria RST must be notified using the Dependant Card Not Required form - failure to do so can put your rail staff travel facilities at risk.

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 and I have supplied any required evidence.
I further confirm that my dependant has never been married/lived with a partner and that they are, and have been, continuously living with me (or only temporarily resident away from home in connection with education).
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 the 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 31/03/2024

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