Application For Jobseeker'S Allowance Transition Form (Jst) - Department Of Social Protection, Ireland

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Application for Jobseeker’s Allowance Transition (JST)
Previous SW Payment
One-Parent Family Payment
Official
Use
JST
Name: ________________________________
PPSN:_____________________
Address: __________________________________________________________________
P45
_________________________________________________________________________
P60
AD Code
Telephone Numbers: Land Line _________________ Mobile ______________________
E-mail address _______________________________ Occupation __________________
Link Ind
Occ Code
Please confirm your current status:
Single
Married
Posn Prior
Divorced/Separated
In a Civil Partnership
Cohabiting
Date of claim
Forms issued:
1. Are you working full-time, part-time or occasionally?
Yes
No
UP16
________
2. Are you attending a course of education or training?
Yes
No
HRC
3. If working/attending a course, please give the name and address of the employer/course,
satisfied/HRC1
issued
________
state whether the course is full-time / part-time and the hours you attend.
________________
________________
________________
4. If working:
Date you started the job
_________________
Number of days you work per week
_________________
Number of hours you work per week
_________________
Hourly rate of pay
_________________
Please bring in a recent payslip to your Intreo Centre/Local Office as soon as possible.
5. Are you self-employed?
Yes
No
If you answered „Yes‟ to this question, please give further details below:
6. At what Post Office do you wish to be paid? ____________________________________
- 1 -
JST 1
Dec 2014

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