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General information
The purpose of cash benet
Cash benet is intended to help families to have more time to take care of their own children themselves, families to have real options with regard to the kind of care they want for their children, and to bring about greater equality in the help individual families receive from the state for childcare.
The child must be aged between one and three. If a child is adopted the upper limit for receiving cash benet is from and including the month in which the child starts school The child and the person who shall receive the cash benet must be resident in Norway. People are regarded as resident if they have lived in or shall live in Norway for more than 12 months. Under the EEA rules, cash benet may be granted on certain conditions if one of the parents is working in Norway, regardless of which EEA country the child lives in. The child must not, or only partly, make use of a kindergarten place for which public operating support is given. The kindergarten can provide information about this.
Procedure
You must always complete pages 3 and 4 of this form. When you have completed pages 3 and 4, you should tear off and keep this general information. You should send pages 3 and 4 of the application to the National Insurance Ofce where you live. If the child is not registered in the Population Register in Norway, the childs birth certicate must be enclosed. When the case has been processed and a decision has been taken on whether or not you full the requirements to receive cash benet, you will receive written notication from the National Insurance Ofce.
be entitled to more cash benet and should submit a claim for it. If you receive cash benet under the EEA rules, and either you or the other parent starts or stops working, you must inform the National Insurance Ofce. You may be asked to repay any cash benet which has been wrongly paid out because you have negligently failed to give notication or have provided incorrect information. This also applies to cash benet which you have received and to which you knew, or should have known, you were not entitled (Section 1 of the Cash Benet Act). You may also be liable for prosecution in such cases (Section 23 of the Cash Benet Act).
1.2
4.3
4.4
4.5
4.1
CASH BENEFIT
Nullstill
Surname, rst name(s) Home address
The boxes below are to be lled in by the applicant Nullstill skjemaet fr du lukker det.
Claim for cash benet for parents of young childen Please read the general information on pages 1
and 2 before completing
Telephone number
1.1
Post code and postal town Are you living in Norway? Home municipality Nationality
Vurdering
Skeren bosatt
1.2
Have you lived in Norway continuously If no, are you going to live for the past 12 months? here continuously for more than 12 months? Yes No Give details in Box 6. Are you an asylum seeker?
If yes, give
Yes
No
Yes
No details in Box 6.
If the children in Box 3 below do not have the same mother/father, please also use box 6.
Telephone number
Home municipality
Nationality
Yes Yes
Fast/delt bosted
4.1
1 2 3
Adoptiv-/fosterbarn
If yes, have you received an adoption Yes allowance or a lump sum adoption
4.2
No
If yes, state from which national insurance ofce you received the benet: If no, enclose documentation showing when you took the responsibility for the child. Please state any additional information in Box 6.
4.3
Are any of the children listed foster children? Are any of the children living in a country other than Norway?
Barnet bosatt
4.4
Have the children lived continuously in Norway for the past 12 months? Are any of the children asylum seekers?
If no, are they going to live here continuously for more than 12 months?
Yes
No
If yes, state which children Yes No Are any of the children living in a childrens home or similar institution? If yes, state also the name and address of the institution
4.5
If yes, state which children
Yes
No
Full/delvis sttte
No
1 2 3
Child no. Name and address of kindergarten, municipality
1 2 3
If there have been changes in attendance or if such changes are planned, please provide further information in this box.
Endringer
6 Additional information
Merknader
7 Language form
Which language do you prefer to receive the anwer in?
9 Signature of guardian
Date and signature of guardian Guardians address
Account number
English
Bokml Nynorsk
1 2 3
Er dette en ES-sak?
Ja
Nei
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