S.I. No. 11/1968 - Redundancy (Rebates and Weekly Payments) Regulations, 1968.

1. I.......................................................hereby claim a weekly payment from the Redundancy Fund.

2. I was last employed by

(i) Name............................................................ ...........

(ii) Address............................................................ ........

............................................................ .......

(iii) From............................................................ .............................

To.............................

(iv) at ............................................................ ..................................

3. I am the rightful holder of a Redundancy Certificate in respect of that employment.

4. I am unemployed and unable to obtain suitable employment.

5. Cause of Redundancy............................................................ ............................................................ ........

(If employment ceased voluntarily, the reason should be stated)...............................................

............................................................ ............................................................ ...........................................

6. I have/have not previously made a claim for a Weekly Redundancy Payment

If previous claim, give particulars............................................................ ..................................................

7. I attach my Redundancy Certificate or............................................................ ...........................................

I am unable to do so because............................................................ ..........................................................

8. I attach my Redundancy Card, or............................................................ ...................................................

I am unable to do so because............................................................ ...........................................................

9. My normal Pre-Redundancy Weekly Pay was............................................................ ..............................

Signature of Officer..............................................

Signature of Claimant.......................................

Leaflets issued............................................................ Date............................................................ ...

CLAIM FOR BALANCE OF REDUNDANCY PAYMENT

I hereby claim unpaid balance of Redundancy Payment due to me in respect of the employment, particulars of which are set out at Part I of this form.

Signature ............................................................ .............

Date............................................................ .............

Payment Authorised,

Signature of Deciding Officer ............................................................ .............................................

Date............................................................ ......................................................

I hereby claim unpaid balance of Redundancy Payment due to me in respect of the employment, particulars of which are set out at Part I of this form.

Signature ............................................................ ..............................................

Date............................................................ ......................................................

Payment Authorised,

Signature of Deciding Officer............................................................ ................................

Date............................................................ ..................................................

GIVEN under my Official Seal, this 9th day of January, 1968.

P. S. Ó h-IRIGHILE,

Minister for Labour.

EXPLANATORY NOTE.

The purpose of these Regulations is to prescribe that forms provided by the Minister must be used by employers when claiming rebates on lump-sum payments and by employees when claiming weekly payments under the Redundancy Payments Act. The places at which the claims must be made, the procedures and the time limits for the making of the claims are also prescribed.

The Regulations also provide that claimants for rebates must, if required to do so by the Minister, produce evidence relating to the claims.

10. Weekly payments shall be made at the Employment Exchange or Employment Office of the area in which the employee concerned resides on the same day as payments under the

Social Welfare Act, 1952

, are made at that office.

11. A claim for weekly payments may be made by post and, in any case where the Minister is satisfied that such an arrangement is necessary or desirable, weekly payments may be made by post.

SCHEDULE 1

R.P. 3.

AN RONIN SAOTHAIR—DEPARTMENT OF LABOUR

REDUNDANCY PAYMENTS ACT, 1967

NOTES

A. Before completing this form please refer to the explanatory leaflet for the guidance of employers.

B. The claim for rebate and a copy of the redundancy certificate must be sent to the local Employment Exchange or Employment Office within six months from the date on which the lump sum payment was made to the employee.

EMPLOYER'S CLAIM FOR REBATE FROM THE REDUNDANCY FUND

Name of Employer............................................................ ............................................................ .....................

Address ............................................................ ............................................................ .....................................

Address at which workers were employed, if different from above........................................................

............................................................ ............................................................ ...................................................

To the Manager,

Employment Exchange/Employment Office at ............................................................ .........................

............................................................ ............................................................ ....................................................

I certify that the employees whose names are listed overleaf (and on continuation sheets numbered

to )

(i) ceased employment on the dates shown in column (6) in each case ;

(ii) were paid lump sums in accordance with the terms of the

Redundancy Payments Act, 1967

, as shown in the receipt portion of the attached copies of redundancy certificates and that these redundancy certificates are true copies of the certificates given to the employees concerned.

I understand that in order to establish my right to any rebate it may be necessary for you to refer to information given by me to the Revenue Commissioners and other Government departments and I hereby give my consent to the disclosure of such information for this purpose only.

I also certify that none of the redundancy payments to which this claim refers is awaiting the decision of an Appeals Tribunal.

I claim rebate amounting to £....................................and declare that no other claim for rebate has been made in respect of the service of these employees between the dates shown in columns (6) and (7).

...............................................Signature of employer

............................................................ ...... Date

CLAIM FOR REBATE FROM THE REDUNDANCY FUND

MEN/WOMEN (Delete as appropriate. Use separate sheets for Men and Women).

Name in full of employee

Insurance Number

Line No.

Date of birth

Date employment commenced

Date employment terminated

Advance notice of dismissal given (Number of weeks)

Amount of a normal week's pay (see footnote A)

Amount of rebate claimed (see footnote B)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

£s.d.

£s.d.

1

2

3

4

5

6

7

8

9

10

11

12

FOOTNOTES: A. The amount of a week's pay should be calculated according to schedule 3 of the Act—see explanatory booklet.

B. The claim for rebate should be in accordance with the provisions of the Act—see explanatory booklet.

R.P.4.

SCHEDULE 2

POSTAL CLAIM FOR A WEEKLY REDUNDANCY PAYMENT.

NOTE : This form must be signed by an insured person claiming a Weekly Payment from the Redundancy Fund in respect of termination of employment by reason of redundancy, and when completed, should, with the Redundancy Certificate be lodged at the local Employment Exchange, or Office, without delay.

Name:............................................................ ...........................

Insurance No. ............................................

Address:............................................................ .......................

Date of Birth:.............................................

............................................................ .......................

Occupation: ...............................................

Please state:—

(1) Name and address of your employer

............................................................ .....................

............................................................ .....................

(2) Date of commencement of employment

............................................................ .....................

(3) Date of termination of employment

............................................................ .....................

(4) Reasons for termination of employment with briefdetails

............................................................ .....................

............................................................ .....................

(5) If you left the employment voluntarily your reasons for doing so

............................................................ ......................

............................................................ ......................

(6) If you have previously made a claim for a weekly Payment, and, if so, give details

............................................................ .....................

............................................................ .....................

(7) If you are attaching Redundancy Certificate (if not, please give the reason)

............................................................ .....................

............................................................ .....................

(8) If your claim for a lump sum payment has been met, (if not, please give the reason)

............................................................ ......................

............................................................ ......................

(9) The amount of your normal Pre-Redundancy weekly pay.

............................................................ ......................

I declare that (i) I am the rightful holder of a Redundancy Certificate in respect of the employment mentioned.

(ii) I am unemployed and unable to obtain suitable employment.

(iii) I have given true and correct answers to the questions on this claim form.

Signature ............................................

Date received ...............................................

Date ............................................

R.P.5.

S.I. No. 11 of 1968.

REDUNDANCY (REBATES AND WEEKLY PAYMENTS) REGULATIONS, 1968.

I, P. S. Ó h-IRIGHILE, Miniser for Labour, in exercise of the power conferred on me by

section 36

of the

Redundancy Payments Act, 1967

(No. 21 of 1967), hereby make the following Regulations