Claims must be completed by deadlines published on the Mutual Fund Website. Please fill out all applicable fields - also when clicking Submit, you will receive a Transaction Reference Number. Please make a note of this, as it will be required if you have any queries with your claim. Need Help? Read the Mutual Fund online claim form instructions. Claim deadlines can be found under the relevant heading on the following page Mutual Fund Webpage School Details * Please tick to confirm the following: The school is legally obliged to continue paying the post holder and the school also has a legal obligation to pay a different person, for supply cover. This person will either be external to the school or would be a current member of staff (likely employed on a part time basis) working additional hours above and beyond their normal contracted hours. If a member of your regular staff is covering this work as part of their normal contracted hours, you would not be eligible to make a claim through the mutual fund, as you are not incurring additional costs. * School DFE Number Enter the DCSF number excluding the 878. * School Name * School Type Special Primary Secondary * Claim Type Continuous Phased Return * Claim Role Type -- Please Select -- Teacher Non-Teacher (Administrator) Non-Teacher (Teaching Assistant) Non-Teacher (Nursery Nurse) Non-Teacher (Residential) Non-Teacher (Technician or Resource) Non-Teacher (Premises) Non-Teacher (Catering) Non-Teacher (Meal Time Assistant) * Claim Month -- Please Select -- January February March April May June July August September October November December * Claim Year -- Please Select -- 2022-23 2023-24 Staff Details * Title * First Name * Last Name * Nature of Absence -- Please Select -- Anxiety Arthritis/Rheumatism Blood Condition Broken Bone Cancer Carpal Tunnel Covid-19 - Self Isolation Covid-19 - Shielding Covid-19 - Positive Case Covid-19 - Long Covid Symptoms Depression Flu Gynaecological Heart Problems High Blood Pressure Infection Operation/Surgery Paternity Leave Pelvic Girdle Disfunction Pneumonia Psychological Skin Disorder Stress Suspension Tumor Vasovagal Episodes Other Other Absence If other was selected, please state the nature of the absence. * Pay Factor Rate -- Please Select -- 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 Authorisation * I certify that the above is an accurate record of teacher/non-teacher absence for the period shown. I claim reimbursement in accordance with the SMF scheme. I understand that if an over-claim is made this may be subsequently adjusted. Confirm * Certified By Please provide your name. * Date Certified Email Address On submission, a copy of the form will be emailed to this address.