Schools Mutual Fund Scheme April to March "*" indicates required fields School Name* School DCSF Number* Your Name* I wish to enter the Schools Mutual Fund Scheme. I understand the premium is based on January total staff pay factor rates as at January 2023 Note: Non-Maintained Schools MUST provide pay factor rate details below. Maintained schools do not need to provide this information as it will be sourced from the January 2022 Payroll data(Non-Maintained Schools Only) Total Teachers pay factor rate as of January 2023 (Non-Maintained Schools Only) Total Non-Teachers pay factor rate as of January 2023 (Non-Maintained Schools Only) Caretakers, cleaners, mealtime assistants and cooks with a pay factor rate below 0.4 as of January 2023 Teacher Cover* A - 100% B - 120% C - 80% Support Cover (Includes caretakers, cleaners, meal time assistants and cooks where the pay factor rate is 0.4 and above)* No support cover A - 100% B - 120% C - 80% Caretakers, cleaners, meal time assistants and cooks cover where the pay factor rate is below 0.4.* Yes No Form completed by*Business ManagerChair of GovernorsHead TeacherSecurity checkCommentsThis field is for validation purposes and should be left unchanged. Δ