Get Disability Allowance Application Form Da1 - Department Of Social ... - Welfare

The Disability Allowance Application Form DA1 is an essential document for individuals seeking financial assistance due to a disability. This guide provides clear and concise instructions for accurately completing the form online, ensuring that your application is submitted smoothly and correctly.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the Disability Allowance Application Form DA1. This will open the form in an accessible format for completion.
2. Begin by providing your Personal Public Service Number (PPS No.). This is a vital identification number that you must have prior to applying.
3. Fill in your personal details in Part 1, including your title, surname, first names, birth surname, and date of birth. Ensure to use BLOCK LETTERS and insert an ‘X’ where applicable.
4. Complete contact details including your address, telephone number, and email address. Make sure to write clearly to facilitate communication from the department.
5. If applicable, indicate your marital status and provide related information as requested in Part 1.
6. In Part 2, detail your work and claim specifics. This includes declaring employment status and any other income sources, alongside corresponding documentation such as payslips.
7. Proceed to Part 3 to satisfy the habitual residence condition. Provide information regarding your nationality, place of birth, and any previous residency outside of the Republic of Ireland.
8. In Part 4, select your preferred payment method—either through a designated bank account or post office. Provide all necessary banking details clearly.
9. If you are applying for additional benefits related to children or other allowances, complete Parts 5 and 6 with the pertinent information regarding your dependents.
10. Submit the form to your doctor for completion of the medical report in Part 12. Make sure all information specified in the report is provided.
11. Ensure you read and complete the declaration in Part 1, signing and dating it as requested.
12. Review the checklist in Part 9 to ensure all required documents and evidence are attached before submission.
13. Once the form is complete, save your changes and proceed to print or download the form for your records before submitting it to the Disability Allowance Section.

Start your application online today to take the first step towards receiving the assistance you deserve.