Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your Personal Public Service Number (PPS No.) in Part 1, ensuring you use BLOCK LETTERS for clarity.
3. Provide your title (Mr., Mrs., Ms., etc.) by inserting an X in the corresponding box, along with your surname and first name(s) as they appear on your birth certificate.
4. Enter your date of birth using the format DD/MM/YYYY. Double-check for accuracy.
5. Complete your contact details, including your address, telephone number, and email address, ensuring each field is clearly filled out.
6. In Part 2, provide details for the child you are claiming for, including their PPS Number, surname, first names, date of birth, and your relationship to them.
7. Indicate if you currently receive Child Benefit for your child and provide the date when additional care was first required.
8. In Part 3, choose how you would like to receive payments, either through a financial institution or a post office, and provide the relevant details as requested.
9. Part 4 requires you to describe your child's additional care needs compared to a child of the same age. Provide as much detail as possible in each area, including mobility, personal care, feeding, education, and more.
10. Once you have filled out the required sections, address Part 5, which grants permission for your doctor to release medical information pertaining to your application.
11. Ensure to leave any non-applicable fields blank and review all entries for accuracy before submitting.
12. Save changes to your completed form, and you can choose to download, print, or share the form as needed.

Complete your application online to ensure timely processing for the Domiciliary Care Allowance.