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Civil Contact Details

Location:
Meyersdale, PA
Posted:
March 12, 2022

Contact this candidate

Resume:

Application form for

Carer’s Allowance

Data Classification R

Social Welfare Services

CR 1

You need a Personal Public Service Number (PPS Number) before you apply. How to complete this application form.

• Please use this page as a guide to filling in this form.

• Please use BLACK ballpoint pen.

• Please use BLOCK LETTERS and place an X in the relevant boxes.

• Please answer all questions that apply to you.

• Please do not strikethrough any of the boxes. Leave boxes blank if they do not apply to you. If no income, please enter 0 in each box.

You should apply for Carer’s Allowance as soon as you start caring for someone. If you do not have a spouse, civil partner or cohabitant: If you do not have a spouse, civil partner or cohabitant, fill in Parts 1 to 6. When the form is completed, read Part 9 and sign declaration in Part 1. If you have a spouse, civil partner or cohabitant: If you have a spouse, civil partner or cohabitant, fill in Parts 1 to 8 and Part 10. When the form is completed, read Part 9 and sign declaration in Part 1. Carer:

You also must complete Section 1 in Part 10 of the medical report and get the person you are caring for to sign Section 2 in Part 10 of the medical report. Doctor:

Please fill in Section 3 of Part 10, which is the Medical Report section of the Care Report. Please make sure you sign and stamp this part of the form. If you need any help to complete this form, please contact your local Citizens Information Centre, your local Intreo Centre or your local Social Welfare Branch Office. For more information, visit www.gov.ie/CA

How to fill this form

To help us in processing your application:

• Print letters and numbers clearly.

• Use one box for each character (letter or number). Please see example below.

SAMPLE

1 2 3 4 5 6 7 T

M U R P H Y

M A U R E E N

M C D E R M O T T

2 8 0 2 1 9 7 0

1. Your PPS Number:

3. Surname:

7. Your date of birth:

4. First names:

D D M M Y Y Y Y

2. Title, insert an X or Mr Mrs Ms Other

specify:

6. Birth surname:

5. Your first name as it

appears on your birth

certificate:

Contact Details

X

M A R Y

L A N D L I N E

M O B I L E

O N E C H A R A C T E R P E R

B O X

10. Your telephone number:

11. Your email address:

O N E N U M B E R P E R B O X

O N E N U M B E R P E R B O X

9. Your address: 1 N E W S T R E E T

O L D T O W N

D O N E G A L T O W N

County

Eircode/Postcode A 6 5 F 4 E 2

D O N E G A L

8 . Your mother’s birth

surname:

K E L L Y

Application form for

Carer’s Allowance

Part 1 Your own details (Carer’s Details)

1. Your PPS Number:

3. Surname:

4. First names:

2. Title, insert an X or Mr Mrs Ms Other

specify:

6. Birth surname:

5. Your first name as it

appears on your birth

certificate:

10. Your telephone number:

11. Your email address:

9. Your address:

8. Your mother’s birth

surname:

Contact Details

I declare that the information given by me on this form is truthful and complete. I understand that if any of the information I provide is untrue or misleading or if I fail to disclose any relevant information, that I will be required to repay any payment I receive from the department and that I may be prosecuted. I undertake to immediately advise the department of any change in my circumstances which may affect my continued entitlement.

Signature of witness not block letters

Date:

D D M M Y Y Y Y

2 0

Declaration

Warning: If you make a false statement or withhold information, you may be prosecuted leading to a fine, a prison term or both.

L A N D L I N E

M O B I L E

Data Classification R

Social Welfare Services

CR 1

County

Eircode/Postcode

If you cannot sign your name, make a mark, such as an X and have it witnessed by a non-relative. Signature not block letters

Date:

D D M M Y Y Y Y

2 0

7. Your date of birth:

D D M M Y Y Y Y

Yes No

Your own details (Carer’s Details)

12. Are you? Single

Married

Separated

Divorced

Widowed

Cohabiting

In a Civil Partnership

A surviving Civil Partner

A former Civil Partner

(you were in a Civil Partnership

that has since been dissolved)

13. If you are married, in a civil partnership or cohabiting, from what date? D D M M Y Y Y Y

Part 1 continued

D D M M Y Y Y Y

14. If you are separated or divorced, if your marriage or civil partnership has ended or recently single, a period of cohabitation has recently ended, from what date? If true, are you living at separate addresses?

Yes No

15. If you are a parent of children aged less than 23 years of age, are you in a single parent household?

16. If you previously lived or worked in the UK, please state your UK Social Security Number: Part 2 Details of person you are caring for

17. Their PPS Number:

19. Surname:

22. Their date of birth:

20. First names:

18. Title, insert an X or Mr Mrs Ms Other

specify:

21. Birth surname:

D D M M Y Y Y Y

23. Their mother’s birth

surname:

24. Their address:

County

Postcode

Part 2 continued Details of person you are caring for 25. Are you related to the cared for person?

Yes No

26. What is the relationship:

27. How long have you been providing care for this person (approximately)? Years Months Weeks

28. Do you live with this cared for person?

Yes No

What system of communication exists between the households? If No, please state:

Community Alert Alarm Landline Phone

Mobile Phone Other

If Other, please specify:

What is the distance between your home and the home of the person you are caring for? 29. How many days each week do you provide care?

days

30. How many hours each day do you provide care? – insert the hours for each day: Monday Tuesday Wednesday

Thursday Friday Saturday

Sunday

31. If you share the provision of care with someone else, when do you mostly provide care? Morning Evening

Night-time All Day

Afternoon

32. Does anyone else help you with the provision of care other than home-help, home support, respite care? – if so, what do they help you with: Miles OR Kilometres

Part 2 continued Details of person you are caring for Yes No

33. Are you taking over the provision of care from someone else who is getting Carer’s Allowance or Benefit?

If Yes, please state the previous carer’s:

Surname:

First names:

34. State the date from which the responsibility for care has transferred to you: D D M M Y Y Y Y

Please supply a letter from the previous carer confirming this. Yes No

35. Is the cared for person currently in a hospital or nursing home? Yes No

36. Is the cared for person attending a day care or rehabilitative centre? Note: A person can be regarded as receiving full-time care and attention while attending a day care centre during the daytime. If the person stays overnight, you must state this clearly. If the cared for person stays overnight at a care facility or centre, please state: Name of centre:

Address of centre:

Telephone number of centre: L A N D L I N E

Number of: days they attend a week nights they attend a week Please attach a letter of confirmation from the care centre. Yes No

37. Does anyone else live with the person you are caring for? If Yes, give details below:

Part 2 continued Details of person you are caring for 38. Have you moved from your home to live with the person you are caring for? Yes No

If Yes, give details below if your home is rented, occupied by other people or otherwise being used:

Where you can show to our satisfaction that adequate care has been or will be provided in your absence for the care recipient, you can work or be self-employed or engage in training or education courses up to a maximum of 18.5 hours per week outside your home. 39. Do you intend to:

Be at work for up to 18.5 hours a week outside your home? Yes No

Be self-employed for up to 18.5 hours a week outside your home? Yes No

Be engaged on a training or education course for up to 18.5 hours a week outside your home? Yes No

40. If you are currently working and/or studying outside your home, in excess of 18.5 hours a week, from what date will you be reducing the combined hours on these activities to 18.5 or less? D D M M Y Y Y Y

41. What arrangements will be made for the care of the person you care for, while you are working or on a training course?

42. Are you currently employed or self-employed inside your home? Yes No

43. If you answered Yes at Questions 39 or 42, fill in the relevant details below: Employer’s name:

Employer’s address:

Part 2 continued Details of person you are caring for Type of work:

Employer’s phone

number:

L A N D L I N E

M O B I L E

Employer’s email

address:

Type of self-employment:

Title of course:

Location of course:

If you are employed or are on a training or education course outside your home, enclose a statement from your Employer or Training provider showing the number of hours a week you will be working or attending and the date the hours were reduced to a maximum of 18.5 a week. Also include your latest payslip, if employed.

Carer’s Allowance is a means tested payment. You are obliged by law to declare all your means (financial resources) which includes money in cash, or in a financial institution, savings, shares, bonds, funds, property (other than your own home), foreign pensions, etc. Please include written evidence such as statements and payslips with your application. Failure to do so could result in a delay in processing your application. You must also declare the means of your spouse, civil partner or cohabitant. Part 3 Your financial resources (means) details

Yes No

46. Are you or have you been self-employed?

Type of work you do or did:

Net yearly income: €, . a year

Yes No

If Yes, please state:

Date self-employment

started:

Part 3 continued Your financial resources (means) details D D M M Y Y Y Y

47.(a) Do you own, share in the ownership, work or rent a farm or land? Size of farm or land:

Net yearly income

from farm or land:

Net yearly income is money you have made from the farm after deducting operating expenses. You must enclose the most recent Statement of Receipts from the Department of Agriculture.

Yes No

If Yes, please state:

Herd or flock number:

47.(b) If your farm or land is let, please state net yearly income from letting: Net yearly income:

Net yearly income is money you have made from self-employment after deducting operating expenses.

, .

, .

44. Are you receiving maintenance?

Amount:

Yes No

If Yes, please state:

€, . a week

Please provide a copy of the maintenance agreement. 45. Are you paying maintenance?

Amount:

Yes No

If Yes, please state:

€, . a week

Please provide a copy of the maintenance agreement. Are you still self-employed:

If No, please state date

self-employment ended:

D D M M Y Y Y Y

Acres OR Hectares

Please complete the remainder of this section.

If no income, please enter 0 in each box.

49. Are you getting an occupational pension?

Employer’s name:

Amount:

Yes No

If Yes, please state:

Please attach the most recent payslip or letter from the employer or pension fund confirming the above amount and also provide a 3 month bank statement for the account to which this payment is made.

, . a week

48. Are you getting a social security payment from another country? Name of country:

Your claim or reference

number:

Amount:

Please attach the most recent payslip or letter from the Social Security Agency confirming the above amount and also provide a 3 month bank statement for the account to which this payment is made.

Yes No

If Yes, please state:

€, . a week

50.(a) Are you taking part in any of the following courses or schemes? Insert X in the box as it applies to you and give the date you started: Community employment: Rural Social Scheme:

Area-Based Initiative: Back to Work Scheme:

Vocational Training

Opportunities Scheme:

Back to Education

Allowance:

School or college:

Other course or scheme:

Name of course or scheme:

Date course: Started:

Due to finish:

D D M M Y Y Y Y

50.(b) Please state what you get paid for doing this scheme or course:

€, . a week

SOLAS course or schemes:

Part 3 continued Your financial resources (means) details 51. Do you own stocks, shares (including shares in a creamery or Co-op, annuities, bonds, insurance policies) or investments in Ireland or another country? Their value:

Please attach a statement to show details and current market value. Yes No

If Yes, please state:

€, .

Name of company:

Number of shares held:,

Part 3 continued Your financial resources (means) details 52. Do you have savings or accounts in a bank, post office, building society, credit union or any other financial institution in Ireland or another country? Yes No

Name of financial institution:

Current balance:

Financial Institution 1

If Yes, please state:

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Name of financial institution:

Current balance:

Financial Institution 2

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Name of financial institution:

Current balance:

Financial Institution 3

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Part 3 continued Your financial resources (means) details Name of financial institution:

Current balance:

Financial Institution 4

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Attach an original statement for each account showing the last 3 months transactions. If you have other accounts, you must give details of them to this department on a separate sheet of paper.

53.(a) Do you own or share in the ownership of property apart from your home? Type of property:

Address of property:

Property would be an

apartment, business

property, another house

or land other than that

mentioned at question 47.

Current market value: €,, .

Yes No

If Yes, please state:

Rent from this property: €, . a week

Outstanding mortgage

on property:

If mortgaged please attach a recent statement from lending institution. Note: A separate sheet of paper should be used for details of any additional properties that you have.

€,, .

Ownership percentage: %

Please provide a valuation from an authorised auctioneer or valuer.

.

Weekly income:

53.(b) If you have a room let in the property you are living in now, please state:

€, . a week

Yes No

54. Is a separated or former spouse or civil partner or former cohabitant paying all or part of your accommodation costs by contributing to your rent or mortgage in place of or in addition to maintenance?

Amount:

If Yes, please state:

€, . a week

Part 3 continued Your financial resources (means) details Yes No

57. Did you sell or transfer property or business in the last three years? 56. Do you have any other income from Ireland or another country? Yes No

If Yes, please give details in the space below. If in doubt, you should disclose it here and we will determine if it affects your entitlement.

Yes No

If Yes, please give details in the space below and attach a copy of the deed of transfer. 55. Do you expect to receive any additional income or money in the coming 12 months from any other sources? For example, a claim for compensation arising out of an accident or injury, sale of property.

If Yes, please give details in the space below. If in doubt, you should disclose it here and we will determine if it affects your entitlement.

58. Did you recently sell your home to buy another? Yes No

If Yes, please outline the circumstances in the space provided and attach supporting documentary evidence from your solicitors regarding the financial transaction. Part 4 Habitual Residence Condition

59. What country were you

born in?

60. What is your nationality?

61. When did you come to

live in Ireland? D D M M Y Y Y Y

Yes No

62. If you are not an EEA National, do you hold a current: Irish Residence Permit

Stamp 4:

Irish Employment Permit Yes No

Stamp 1:

Student Visa, Stamp 1A, Yes No

Stamp 2A or Stamp 3:

Other? Yes No

If Yes, please give details in the space provided. If Yes, to any of the above, please enclose your original permit and your original letter from the Department of Justice which sets out the reasons you have been granted permission to reside in Ireland.

If Yes, please attach a verified copy of same (your local Intreo Centre or your local Social Welfare Branch Office can photocopy it for you and verify that they saw the original). Yes No

The European Economic Area (EEA) comprises of the member states of the European Union together with Iceland, Norway and Liechtenstein and Croatia. 63. Do you have an Irish Residency Permit (IRP) ?

Part 4 continued Habitual Residence Condition

Yes No

65. Have you lived outside of Ireland for any period longer than 3 months within the last 5 years? If Yes, please give details of where you lived in the space provided. Country:

Country 1

From:

To:

D D M M Y Y Y Y

The reason that you lived there:

64. How long do you intend to stay in Ireland?

0-1 year 1-2 years

3-5 years over 5 years

Country 2

D D M M Y Y Y Y

The reason that you lived there:

Country:

From:

To:

Part 5 Your payment details

You can get your payment at a post office of your choice or direct to your current, deposit or savings account in a financial institution. An account must be in your name or jointly held by you. Please complete one option below.

Financial Institution

Name of financial institution:

Bank Identifier Code (BIC):

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Post office name and address:

Post Office

You will find the following details printed on statements from your financial institution. Please enter below the name and address of the post office where you wish to collect your payment.

Part 6 Details of your children

under age 18 aged 18 - 22 in full-time education

66. Do you have children living with you?

Yes No

If Yes, how many are under 18 and aged between 18 - 22 in full-time education? Please state child’s:

Surname:

PPS Number:

First names:

Child 1

Do they normally live with you?

Yes No

D D M M Y Y Y Y

Date of birth:

You must attach written confirmation from the school or college for the children aged 18 - 22. Surname:

PPS Number:

First names:

Child 2

Do they normally live with you?

Yes No

D D M M Y Y Y Y

Date of birth:

Part 6 continued Details of your children

Surname:

PPS Number:

First names:

Child 3

Do they normally live with you?

Yes No

D D M M Y Y Y Y

Date of birth:

Surname:

PPS Number:

First names:

Child 4

Do they normally live with you?

Yes No

D D M M Y Y Y Y

Date of birth:

Surname:

PPS Number:

First name(s):

Child 5

Do they normally live with you?

Yes No

D D M M Y Y Y Y

Date of birth:

Note: A separate sheet of paper can be used for details of other children you have. 73. Their address:

Only provide this if you

are married or in a civil

partnership and do not live

together.

67. Their PPS Number:

69. Their surname:

72. Their date of birth:

70. Their first names:

68. Title, insert an X or

specify:

71. Their birth surname:

Mr. Mrs. Ms. Other

D D M M Y Y Y Y

Your spouse’s, civil partner’s or cohabitant’s

Part 7 details

Part 8 Your spouse’s, civil partner’s or cohabitant’s work and claim details

Please complete the remainder of this section.

If no income, please enter 0 in each box.

75. Are they receiving maintenance?

Amount:

Yes No

If Yes, please state:

€, . a week

Please provide a copy of the maintenance agreement. Their employer’s name:

Their employer’s address:

Their gross weekly

earnings:

Please attach latest payslip.

77. Are they currently employed? Yes No

If Yes, please state:

€, . a week

76. Are they paying maintenance?

Amount:

Yes No

If Yes, please state:

€, . a week

Please provide a copy of the maintenance agreement. 74. Their mother’s birth

surname:

Your spouse’s, civil partner’s or cohabitant’s

Part 8 continued work and claim details

Yes No

78. Are they or have they been self-employed?

Type of work they do or did:

Net yearly income: €, . a year

Yes No

If Yes, please state:

Date self-employment

started:

D D M M Y Y Y Y

Net yearly income is money you have made from self-employment after deducting operating expenses.

Are they still self-employed:

If No, please state date

self-employment ended:

D D M M Y Y Y Y

79.(a) Do they own, share in the ownership, work or rent a farm or land? Size of farm or land:

Net yearly income

from farm or land:

Net yearly income is money they have made from the farm after deducting operating expenses. You must enclose their most recent Statement of Receipts from the Department of Agriculture. Yes No

If Yes, please state:

Herd or flock number:

79.(b) If their farm or land is let, please state net yearly income from letting: Net yearly income:

80. Are they getting a social security payment from another country? Name of country:

Their claim or reference

number:

Amount:

Please attach their most recent payslip or letter from their Social Security Agency confirming the above amount and also provide a 3 month bank statement for the account to which this payment is made.

Yes No

If Yes, please state:

81. Are they getting an occupational pension?

Employer’s name:

Amount:

Yes No

If Yes, please state:

Please attach their most recent payslip or letter from their employer or pension fund confirming the above amount and also provide a 3 month bank statement for the account to which this payment is made.

, .

, .

, . a week

, . a week

Acres OR Hectares

82.(a) Are they taking part in any of the following courses or schemes? Insert an ‘X’ in the box as it applies to them and give the date they started: Community employment: Rural Social Scheme:

Area-Based Initiative: Back to Work Scheme:

Vocational Training

Opportunities Scheme:

Back to Education

Allowance:

School or college:

Other course or scheme:

Name of course or scheme:

82.(b) Please state what they get paid for doing this scheme or course:

€, . a week

SOLAS course or schemes:

83. Do they own stocks, shares (including shares in a creamery or Co-op, annuities, bonds, insurance policies) or investments in Ireland or another country? Their value:

Please attach a statement to show details and current market value. Yes No

If Yes, please state:

€, .

Name of company:

Number of shares held:,

84. Do they have savings or accounts in a bank, post office, building society, credit union or any other financial institution in Ireland or another country? Yes No

Name of financial institution:

Current balance:

Financial Institution 1

If Yes, please state:

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Part 8 continued Your spouse’s, civil partner’s or cohabitant’s work and claim details

Date course: Started:

Due to finish:

D D M M Y Y Y Y

Name of financial institution:

Current balance:

Financial Institution 2

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Name of financial institution:

Current balance:

Financial Institution 4

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Attach an original statement for each account showing the last 3 months transactions. If you have other accounts, you must give details of them to this department on a separate sheet of paper.

Your spouse’s, civil partner’s or cohabitant’s

Part 8 continued work and claim details

Name of financial institution:

Current balance:

Financial Institution 3

€, .

International Bank Account

Number (IBAN):

Names of account holders:

Name 1:

Name 2 (if any):

Is this a joint account? Yes No

Bank Identifier Code (BIC):

Yes No

85.(a) Do they own or share in the ownership of property apart from your home? Type of property:

Address of property:

Property would be an

apartment, business

property, another house

or land other than that

mentioned at question 79.

Current market value: €,, .

Yes No

If Yes, please state:

Rent from this property: €, . a week

Outstanding mortgage

on property:

If mortgaged please attach a recent statement from lending institution. Note: A separate sheet of paper should be used for details of any additional properties that they have.

€,, .

Ownership percentage:

Please provide a valuation from an authorised auctioneer or valuer. Weekly income:

85.(b) If they have a room let in the property they are living in now, please state:

€, . a week

86. Is a separated or former spouse or civil partner or former cohabitant paying all or part of their accommodation costs by contributing to their rent or mortgage in place of or in addition to maintenance?

Amount:

If Yes, please state:

€, . a week

Part 8 continued Your spouse’s, civil partner’s or cohabitant’s work and claim details

. %

Yes No

87. Do they expect to receive any additional income or money in the coming 12 months from any other sources? (For example, a claim for compensation arising out of an accident or injury, sale of property, etc.)?

If Yes, please give details in the space below. If in doubt, you should disclose it here and we will determine if it affects your entitlement.

Your spouse’s, civil partner’s or cohabitant’s

Part 8 continued work and claim details

89. Did they sell or transfer property or business in the last three years? 88. Do they have any other income from Ireland or another country? Yes No

If Yes, please give details in the space below. If in doubt, you should disclose it here and we will determine if it affects your entitlement.

Yes No

If Yes, please give details in the space below and attach a copy of the deed of transfer. 90. Did they recently sell your home to buy another? Yes No

If Yes, please outline the circumstances in the space provided and attach supporting documentary evidence from your solicitors regarding the financial transaction. Part 9 Checklist

Have you enclosed the following?

Tick Checklist

Have you signed the Declaration in Part 1?

If you were born, married or entered a civil partnership or union outside of Ireland, have you enclosed your birth certificate, your marriage certificate or civil partnership or union registration certificate, the birth certificate of a spouse, civil partner or cohabitant (if any) and your children’s (if any) birth certificate(s) if you are not getting Child Benefit for them? If the cared for person stays overnight in a Care Facility/Centre, have you enclosed a letter of confirmation from the Care Facility/Centre?

If you or a spouse, civil partner or cohabitant are working, have you enclosed your latest payslips?

If you intend to be working outside your home while getting the allowance, have you enclosed a letter from your employer showing the number of hours you will be working and the date the hours were or will be reduced to 18.5 or less a week? If you are engaged on an Education or Training course, have you enclosed a letter from the Training Provider showing that the number of hours you will be engaged on the course outside your home is or will be 18.5 hours a week of less? Have you disclosed the balance in every account you or a spouse, civil partner or cohabitant have in a financial institution and enclosed statements showing the last 3 months’ transactions?

If you or a spouse, civil partner or cohabitant are getting a Social Security payment from another Country, have you included payment slips?

If you or a spouse, civil partner or cohabitant are getting an Occupational Pension, have you included payment slips?

If you or a spouse, civil partner or cohabitant own or share in the ownership of stocks or shares, have you enclosed a statement showing their details and their current market value?

If you or a spouse, civil partner or cohabitant own or share in the ownership of any property apart from your home, have you enclosed a valuation from an authorised auctioneer or valuer? If the property is mortgaged, have you enclosed a recent statement from the lending institution?

If you or a spouse, civil partner or cohabitant is receiving maintenance, have you enclosed a copy of the maintenance agreement?

If you or a spouse, civil partner or cohabitant are paying maintenance, have you enclosed a copy of the maintenance agreement?

If you or a spouse, civil partner or cohabitant have sold or transferred a property or business in the past 3 years, have you enclosed a copy of the deed of transfer? If you or a spouse, civil partner or cohabitant have sold a home to buy another, have you attached supporting documentary evidence from your solicitors about the financial transaction?

Part 9 continued Checklist

Tick Checklist continued

If you have an Irish Residency Permit (IRP), have you attached a verified copy? Have you attached written confirmation from a school/college to confirm the attendance in full-time day education of any child aged between 18 and 22? If you or a spouse, civil partner or cohabitant are self-employed, have you enclosed the most recent set of accounts of the business or farm. If you or a spouse, civil partner or cohabitant are involved in farming, have you enclosed the most recent Statement of Receipts from the Department of Agriculture? If you are taking over care from another carer, have you enclosed a letter from the previous carer confirming the date that your responsibility for



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