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Get Form Rja Part 1 Revenue Job Assist

Form is for Revenue purposes only. Have your Employer complete Part 2, then submit your claim to your Regional Revenue office. Name Address PPS No. SOCIAL PROTECTION DETAILS (must be completed in all cases) If you are or were in receipt of payments from the Department of Social Protection state the nature of the payment(s) you received and enter the relevant dates. Payment Type From D D M M Y Y To D D M M Y Y Payment Type From D D M M Y Y To D D M M Y Y Insert x in the box if you a.

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