Regulation 17(1)

[F1SCHEDULE 4N.I.INFORMATION FOR CLAIM FOR PAYMENT OF FOOD OUTLET

The information to be provided by a food outlet on a claim for payment in relation to vouchers is—

(a)the name and address of the food outlet;

(b)the address at which the food outlet exchanged Healthy Start food for the vouchers to which the claim relates; and

(c)the number of vouchers included with the claim.]