Claim for CEA (Board, Day), SENA, SENA (Day), DSA(NW) or
Gurkha Education Allowance (GEA)
JS JPA F001 / In accordance with the Data Protection Act 1998, the Ministry of Defence will collect, use, protect and retain the information on this form in connection with all matters relating to personnel administration and policy / AA001
Part A – (To be completed by the claimant)
This form should be used by all applicants when making a claim. The completion of this form always requires calculations to be made prior to JPA input.
Originating Unit
Service Number / Surname / Initials / Rank
Term (check appropriate box) / Autumn / This is: My original claim for this term
Spring / Calendar Year / An amended claim for this term
Summer / On change of PStat Category
GEA Annual / Academic Year
Child / Surname / Child’s First Name / Child’s Date of Birth (dd/mm/yyyy) (Only complete this field if manual claim is being made) / Name of School include ASD Code (if known) (Only complete this field if a manual claim is being made) / Address of School
(Only complete this field if a manual claim is being made) / Claim Type
(Note 1) / CEA Type
(Note 2) / (a)
Boarding and/or Tuition Fees
(Note 3)
£ p / (b)
SEN Tuition
(Note 4)
£ p / (c)
Grants, Scholarships Discounts received
£ p / (d)
Extras Payable in Advance – current term
(Note 5)
£ p / (e)
Extras claimed for previous term
(Note 5)
£ p
A / 123 / 12345678910
Extras Figure to input onto JPA = (d + e)
B / 123 / 12345678910
Extras Figure to input onto JPA = (d + e)
C / 123 / 12345678910
Extras Figure to input onto JPA = (d + e)
Notes:
1 / Claim Type / Code 1 – Initial : Code 2 – Continuation : Code 3 – Final – not to be used when submitting the last claim at one school and moving to another
2 / CEA Type / Code 1 – CEA(Board) Code 2 – CEA(SENA(SP) Code 3 – CEA(SENA(DU)
Code 4 – CEA(SENA(NSI) Code 5 – CEA(Day) Code 6 – CEA(SENA(SP)(Day))
Code 7 – CEA(SENA(DU)(Day)) Code 8 – CEA(SENA(NSI)(Day)) Code 9 – DSA(NW)
Code 10 – Gurkha Education Allowance (GEA)
3 / Fees / Enter actual fees payable, before deduction of Grant, Scholarships or Discounts (include all board and tuition fees
- including Special Educational Need (SENA) Tuition fees, except for CEA(SENA(DU)/(NSI)) and CEA(SENA(Day)(DU) or (NSI)) claims. See Note 4.)
- Fees for GEA Claims are to be adjusted (reduced) by 10% personal contribution. It is this reduced figure that must be entered.
4 / SEN Tuition / For CEA (SENA(DU) or (NSI)) and CEA(SENA(Day)(DU) or (NSI)) claims enter fees specific to SEN Tuition as authorised by the CEAS Statement of Educational Need.
5 / Extras / Total of admissible items claimed in accordance with JSP 752 Chapter 9 Section 2
Part B – Claimant’s Certificate
I claim Continuity of Education Allowance (CEA) (Board, Day, SENA or SENA(Day)) in accordance with JSP 752 Chapter 9 Sections 1-5.1I certify that all details shown and amounts claimed at Part A are correct.
2I have read and understand the rules relating to CEA and I accept:
- That CEA is to provide continuity of education for the child(ren) in respect of which this claim is submitted.
- A commitment to Family Mobility and, when assigned, I intend to serve accompanied and occupy a Residence at Work Address (RWA) at my new permanent duty station. I am aware that if I fail to relocate my family to a RWA on assignment my entitlement to CEA will normally cease unless I move to an authorised unaccompanied post or obtain specific exceptional authority.
- I am aware that I am required to pay a minimum 10% Parental Contribution (PC) towards my child(ren)’s education and that this will be taken into account when this claim for CEA is processed (except for CEA SENA(SP)).
- That payment of CEA will only be made into my main UK bank account set up on JPA for pay purposes.
4I have declared at Part A all grants, scholarships and discounts made by the school, Local Education Authorities or other public bodies and official benefactors.
5I understand that I may be called upon to refund CEA received if my child(ren) for whom CEA has been paid is/are withdrawn from school for unacceptable reasons, or without prior authority. I understand that any new assignment, whether at home or overseas, will not be regarded as sufficient reason for changing my child(ren)’s school.
6I will inform my CO immediately, in writing, of any occurrence that may affect my entitlement for CEA (e.g. change of school, change in stage of education, change of education authority grant, change of fees, change of PStat Category, change from boarding school to day school, cessation of schooling, change of accompanied status or change of permanent duty station).
7The child(ren) is/are eligible for CEA in accordance with JPS 752, Chapter 9, Section 1.
8I am aware that I am required by regulations to pay the full amount of the CEA paid to me directly to the school or Local Education Authority not later than 30 calendar days after receipt of the CEA.
9In the event of any reduction in the net amount due to the school, to below the amount claimed, I will immediately notify my unit HR admin staff and refund any overpayments.
10I have only applied for admissible extras when my entitlement, after deduction of the PC where applicable, is below the appropriate maximum CEA payment rate.
11(Applicable for Initial Claims and where a school change is involved only). I have sought advice from CEAS and have received a certificate to this effect from CEAS which I will submit to my Unit Allowances Checker prior to authorisation of this claim.
12(Applicable for initial or continuation claims after a change of Pstat Category). I have changed my Pstat Category and understand that this claim must be submitted via JPAC before it is authorised for payment.
13(Applicable to final claims only). I undertake to submit to the Unit Allowances Checker not later than 61 days after receipt of the CEA payment or, if I am due to be discharged before this date, prior to my last day of service, a valid receipt for payment to the school or Local Education Authority of the full amount of the CEA payment.
• My family has accompanied me to my current place of duty and occupies a RWA at the following address: • My family has not accompanied me to my current place of duty because:
DSA(NW)
I claim DSA(NW) in accordance with JSP 752, Chapter 9, Section 7.
1I certify that all details shown and amounts claimed at Part A are correct.
2I have declared at Part A all grants, scholarships and discounts made by the school, Local Education Authorities or other public bodies and official benefactors.
3I understand that I may be called upon to refund DSA(NW) received if a child(ren) for whom DSA(NW) allowance has been paid is withdrawn from school for unacceptable reasons or without prior authority.
4I will inform my CO immediately, in writing, of any occurrence that may affect my entitlement to DSA(NW) (e.g. change of school, change in stage of education, change of education authority grant, change of fees, change of Pstat Category, cessation of schooling, change of accompanied status or change of permanent duty station).
5In the event of any reduction in the net amount due to the school, to below that amount claimed I will immediately notify my unit HR admin staff and refund any overpayments.
Gurkha Education Allowance
I claim Gurkha Education Allowance (GEA) in accordance with JPS 752, Chapter 9, Section 10.
1I certify that all details shown and amounts claimed at Part A are correct.
2My child(ren) attended the school(s) shown at Part A.
3I am aware that I am required to pay a minimum 10% parental contribution towards my child(ren)’s education and that this will be taken into account when this claim for GEA is processed.
4I have declared at Part A all grants, scholarships and discounts made by the school, Local Education Authorities or other public bodies and official benefactors.
5I understand that the underlying principle governing the payment of GEA is the continuity of education for my child(ren), which would otherwise be disrupted by the need to relocate my family as a result of normal Service assignments or appointments. I acknowledge that in receiving GEA I am expected to serve accompanied according to current regulations (where this is not precluded for Service reasons) and that, if, on assignments to a location where I become voluntarily unaccompanied, I may lose entitlement to GEA.
6I am aware that the school will be visited on an annual basis to ensure that the child(ren) for whom this claim is made has/have been attending the school.
7I will inform my CO immediately of any occurrence that may affect my entitlement to GEA.
8In the event of any reduction in the net amount due to the school, to below the amount claimed I will immediately notify my unit HR admin staff and refund any overpayments.
I attach supporting documentation as required by JSP 752, Chapter 9, Section 1
Date / Signature
Part C – To be completed by the Unit Allowances Checker
- The details at Parts A and B are, to the best of my knowledge, correct. The applicant is / is not accompanied by his/her family.
- I have checked all the required supporting documentation (see checklist below) as detailed in JSP 752 Chapter 9 and I am content that the Mobility Certificate is current.
Full Unit Postal Address Unit Contact Telephone Number
Documents attached: CEA Board Certificate (initial claims only) Itemised Bills corresponding to claim (continuation & amnt only)
Tick as appropriate
Notification of Fees and Boarding Receipted Bills/ Proof of the previous Terms payment
Part D – To be completed by HQ BGN (for GEA Claims only)
- The school is on the designated List.
- This Claim is valid.
Part E – To be completed by JPAC
- Details of the claim have been entered on JPA and the record updated.
Revised 03/14