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Bursary forms

There are some forms that you can’t complete in BOSS. You’ll need to print these forms out and then post them back to us.

Childcare Allowance and Reconciliation

Childcare Allowance

If you have childcare costs, you can apply for Childcare Allowance. The form must be countersigned by your childcare provider or we can’t accept it.

Childcare allowance application form (PDF: 575KB)

Reconciling your childcare costs

If you've been awarded Childcare Allowance, we reconcile your childcare costs quarterly.

Please complete and send us the correct form and any evidence together with your student coversheet to:

NHS Student Bursaries


PO Box 2253





Childcare reconciliation form Quarter 3 (25 February 2019 to 2 June 2019) (PDF:252KB)

Childcare reconciliation for Quarter 2 (03 December 2018 to 24 February 2019) (PDF: 310KB) 

Childcare reconciliation form Quarter 1 (03 September 2018 to 02 December 2018) (PDF: 325KB)


Childcare reconciliation form Quarter 4 (28 May 2018 to 26 August 2018) (PDF: 314KB)Childcare reconciliation form Quarter 3 (26 February 2018 to 27 May 2018) (PDF: 394KB)Childcare reconciliation form Quarter 2 (27 November 2017 to 25 February 2018) (PDF: 237KB)Childcare reconciliation form Quarter 1 (28 August 2017 to 26 November 2017) (PDF: 237KB)


Practice Placement Expenses (PPE)

If you started your course before 1 August 2017 or you are in receipt of a bursary through the 2017/18 transitional arrangements, you may be able to get help with your travel and accommodation costs whilst on a practice placement. Please make sure you read our guidance notes before making a claim.

Practice Placement Expenses (PPE) claim form (PDF: 688KB)

Guide to completing your PPE claim form (PDF: 460KB)

Temporary DSAs

Your university is expected to provide support for identified needs through reasonable adjustments. However, if they are unable to provide the support you require and you have submitted a formal appeal to them, we may be able to offer temporary support to you through the DSAs whilst your appeal is being decided by your university.

Request for temporary DSAs support (PDF: 110KB)

Income/Pay/Pension Forms

Current Income Assessment

If your parents' or spouse/partner's income has dropped by 15% or more compared to the previous tax year your bursary may be reassessed.

Current income assessment form (PSM1 CI) (PDF: 148KB)

Confirmation of pay

You need to complete the confirmation of pay form if you don’t have a P60 or a week 52 payslip:

Confirmation of pay form (PSM60) (PDF: 210KB)

Confirmation of Personal (Private) Pension Contribution

You need to complete this form if you’re paying into a personal pension plan (not a company pension scheme). Please note tax relief must be quoted.

Confirmation of personal (private) pension contributions paid (PSM90) (PDF: 206KB)

Self assessed income

The Declaration of Self Assessment Income Form (PSM65) is no longer accepted as a valid confirmation of self-assessed income. If you need to confirm your income from self-assessment, please provide the most recent of the following documents:

•  personal tax calculation/computation statement from HMRC
•  self-assessment tax return
•  statement of accounts
•  accountant’s letter