Form Cb 1 - Application Form For Child Benefit
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16Social Welfare Services
pplication form for
CB 1
Data Classification R
Child Benefit
You need a Personal Public Service Number (PPS No.) for yourself and your
child(ren) before you apply.
How to complete this application form.
• Please use this page as a guide to filling in this form.
• Please answer all questions. Incomplete forms will be returned and this may
delay your application.
• Please use bl ck ball point pen.
• Please use BLOCK LETTERS and place an X in the relevant boxes.
• If you want to claim for any children aged 16 or 17 you should complete this
form and form CB2, which you can get online at , from your local
Social Welfare Office and from post offices.
You could lose out on benefit unless you complete and return this application
form within 12 months of the month in which:
- the child is born, or
- the child became a member of your family, or
- you and your family came to live in the Republic of Ireland, or
- you or your spouse, civil partner or cohabitant commence(s) employment here.
Note: Child Benefit is not paid for the month in which the child is born.
If you are applying later than 12 months after any of these events and you wish
to apply for arrears, you must give the reason(s) for the late application in Part 7
and attach written evidence.
• child benefit is normally paid to the mother or step-mother. In certain cases, it
can be paid to other people. The Department may need to get information from
other agencies about your application and may use details on this form to check
your eligibility for Child Benefit when contacting them.
pplicant:
Fill in all Parts. When form is completed, sign declaration in Part 1.
If you need any help to complete this form, please contact your local Citizens
Information Centre, your local Intreo Centre, your local Social Welfare Office or
the Child Benefit Section.
Telephone: (074) 916 4496
LoCall:
1890 400 400
If you are calling from outside the Republic of Ireland please call + 353 74 916 4496.
Note: The rates charged for the use of 1890 (LoCall) numbers may vary among
different service providers.
For more information, log on to .
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