IE
S.I. No. 155/1960 - Unemployment Assistance (Application For Assistance Regulations) (Amendment) Order, 1960.
Table of Provisions (9)
Statutory Text (9 Articles)
1. PARTICULARS OF CHILDREN:—
NAME OF CHILD
Date of Birth
Relationship to you
Does child reside with you?
No.
SURNAME
CHRISTIAN NAMES
Day
Month
Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
2. Are you in receipt of Children's Allowances? If so, state Claim Number shown on your Allowance Book................................................
3. Is any allowance (other than a Children's Allowance), benefit, pension or assistance payable, either to you or to any other person, in respect of any child who is in your household or who normally belongs to your household ? If so, give particulars ............................................................ ........................ ............................................................ ............................................................ .......................................................
DECLARATION
I hereby declare that, to the best of my knowledge and belief, all the information given by me on this form in respect of persons claimed as my dependants is true in all respects and no other person is claiming any increase of benefit or assistance in respect of any of these persons. I undertake to notify the Local Officer of the Department of Social Welfare if any of the information furnished by me on this form ceases to be true.
* SIGNATURE ............................................................ .........DATE ............
Signature and Address of Witness to Mark.
}
............................................................ ........
............................................................ ........
*If you are unable to write, your mark should be affixed and duly witnessed.
CONFIRMATION (See Note below)
The information given in this claim is correct to the best of my knowledge and belief.
DATE ......................SIGNATURE ..................................................
ADDRESS ........................................DESCRIPTION.....................:....
NOTE:—The confirmation should be signed by one of the following: A Peace Commissioner; a Banister or Solicitor; a Minister of Religion; a Registered Medical Practitioner; a Schoolmaster or Teacher of a day school; a Home Assistance Officer; a County, City, Borough or Urban District Councillor; a Secretary or other responsible local representative of the Claimant's Trade Union
GIVEN under my Official Seal, this 21st day of July, 1950
SEÁN MacENTEE,
Minister for Social Welfare.
EXPLANATORY NOTE.
Payment in respect of dependent children of an applicant for unemployment assistance is at present restricted to two children and the prescribed form of application provides for two children only. This restriction on payment in respect of children is being removed as from the 1st August, 1960, by the
Social Welfare (Miscellaneous Provisions) Act, 1960
, and the purpose of this Order is to amend, as from that date, the form of application at present in use so as to make provision for all dependent children of an applicant.
4. Is she over 16 years of age ?..............................................
5. Is she single, married or a widow ? ............................................................ ................................
6. Is she wholly or mainly maintained by you ? ..........................................
7. What weekly wages do you pay her ? .............................................
8. If she is claiming or in receipt of any benefit, pension, allowance or assistance, give particulars ............................................................ ............
D.
PERSON claiming as dependants A CHILD OR CHILDREN under 16 years of age
S.I. No. 155 of 1960.
UNEMPLOYMENT ASSISTANCE (APPLICATION FOR ASSISTANCE REGULATIONS) (AMENDMENT) ORDER, 1960.
I, SEÁN MacENTEE, Minister for Social Welfare, in exercise of the powers conferred on me by subsection (1) of
section 7
of the
Unemployment Assistance Act, 1933
(No. 46 of 1933), as adapted by the Social Welfare (Transfer of Departmental Administration and Ministerial Functions) (No. 1) Order, 1947 (S.R & O., No. 18 of 1947), hereby order as follows