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  1. This form is used to apply for Disability Allowance. Download application form: Disability Allowance (DA1) Updated: February 2024. Download link for Download.

  2. What do I need to complete this application form? • fill in Parts 1 to 7 as they apply to you and your household; • complete Part 8 checklist and make sure you have all the information and documents listed; • complete Part 9 outlining your education, work history and how your medical condition affects your daily life;

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  4. You can get an application form for Disability Allowance (pdf) from your local: Intreo Centre or a Social Welfare Branch Office; Citizens Information Centre. If you think you have been wrongly refused DA you can appeal this decision.

  5. Jul 23, 2019 · To apply, fill in the Disability Allowance application form at the bottom of this page. You can also get this form at your local: Intreo Centre or Social Welfare Branch Office

  6. Fillable PDF Version – 04.2019 Page 1 of 6 Application for Assessment of Need under Disability Act 2005 Notes on Filling Out This Application 1. You can fill in this form online or you can print it and write in the information. You must print it and sign it before sending it to the Assessment Officer. 2.

  7. Social Welfare Services. OB21. How to complete application form for Disablement Benefit and/or Incapacity Supplement under the Occupational Injuries Scheme. • Please tear off this page and use as a guide to filling in this form. • Please use BLACK ball point pen.

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