Form Eu4 PDF Details

Engaging with the intricacies of immigration regulations, the Department of Justice and Equality presents a structured pathway through the EU4 form, designed meticulously for individuals seeking a review of decisions tied to their status under the European Communities (Free Movement of Persons) Regulations of 2006 and 2008. These decisions pertain to applications previously submitted under forms EU1, EU2, or EU3, reflecting various residency or family relationship claims within the Republic of Ireland. The necessity for every section's completion in block capitals, the stipulation of a 15-day period from the date of refusal for submission, and the requirement for signatures in Section 6 emphasize the form's rigorous and formal nature. Moreover, it underscores the importance of accurate, timely information and the submission of supporting documentation, thereby entrusting applicants with the responsibility to notify the office of any circumstantial changes post-submission. Prospective attendees for interviews and the mandate for legal representative authorization further delineate the procedural aspects, attesting to the form's role in fostering a transparent, accountable process for reviewing decisions that have profound personal implications for applicants and their families within the EU citizenry spectrum.

QuestionAnswer
Form NameForm Eu4
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesForm EU4 form eu4 download explanatory leaflet

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DEPARTMENT OF JUSTICE AND EQUALITY

FORM EU 4

 

IRISH NATURALISATION & IMMIGRATION SERVICE

 

 

 

 

Re qu e st f or Re v ie w of D e cision

1 0 / 2 0 1 2

 

For EU1, EU2 or EU3 Applicant

This for m is t o be com plet ed by each per son r equest ing a r ev iew under Regulat ion 21 of t he Eur opean Com m unit ies ( Fr ee Mov em ent of Per sons) Regulat ions 2006 and 2008 .

This for m m ust be com plet ed in BLOCK CAPI TALS. Where indicat ed, please place a t ick ( ) in t he appr opriat e box .

A r equest for a rev iew of a r efusal decision should be m ade wit hin 15 day s of t he refusal dat e ( as per t he let t er of refusal) .

All sect ions m ust be com plet ed. The declar at ion( s) in Se ct ion 6 m ust be signed. I ncom plet e applicat ions cannot be pr ocessed and will be r et ur ned.

I f y ou ar e unable t o pr ovide any of t he inform at ion or det ails r equest ed in any of t he r elev ant sect ions, please explain t he reasons in a let t er and enclose it wit h t his applicat ion for m .

You and t he EU cit izen of w hom you ar e a fam ily m em ber m ay be r equired t o at t end for an int er view in connect ion wit h t his review .

While your applicat ion is being processed at t his office, t he onus is on you, t he applicant , t o advise t his office of any change in circum st ances ( including change of r esidence or change in act ivit ies of EU cit izen) . You m ust subm it new suppor t ing docum ent at ion as appr opriat e.

Se ct ion 1

Applica t ion t o be Re v ie w e d

1 . 1 Applicant Per son I D Num ber

1 . 2 Applicat ion I D Num ber

1 . 3 Ty pe of applicat ion t o be r ev iew ed ( please t ick )

EU1 – Residence Car d

EU2 – Per m anent

EU3 – Per m anent

 

Residence Cer t ificat e

Residence Car d

EUTR

1 . 4 Refusal decision dat e

Day

Mon t h

Year

Se ct ion 2

Applica n t D e t a ils

2 . 1

Nam e ( as in passpor t )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 . 2

Dat e of Bir t h

 

 

 

 

 

 

 

 

 

 

 

2 . 3 Gender ( please t ick )

2 . 4 PPS Num ber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

Fem ale

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

Mon t h

 

 

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 . 5

Nat ionalit y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 . 6

Cur r ent Resident ial Addr ess in I r eland

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 . 7 Relat ionship t o EU cit izen ( f or r ev iew of EU1 or EU3 only )

 

 

Spouse

 

 

 

Par t ner

 

 

 

Div or ced/ Annulled

 

 

 

Ot her fam ily dependant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Par ent

 

 

 

Sibling

 

 

 

Child

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I f " Ot her fam ily dependant " , please specify :

For m EU4 ( 10/ 2012) - Page 1 of 4

2 . 8 Cont act Telephone Num ber

2 . 9 Em ail Addr ess

Se ct ion 3

D e t a ils of EU Cit iz e n ( f or EU 1 o r EU 3 on ly )

3 . 1

Nam e ( as in passpor t )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 . 2

Dat e of Bir t h

 

 

 

 

 

 

 

 

 

 

 

3 . 3 Gender ( please t ick )

3 . 4 PPS Num ber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

Fem ale

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

 

Mont h

 

 

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 . 5

Cur r ent Resident ial Addr ess in I r eland

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 . 6 Nat ionalit y

3 . 7 Cont act t elephone num ber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 . 8 Em ail Addr ess

Se ct ion 4

Cu r r e n t a ct iv it y of t h e EU cit iz e n in t h e St a t e

For " D e t a ils of cu r r e n t a ct iv it y " in t his sect ion, please pr ov ide t he follow ing as applicable: nam e and addr ess of w or k place; nam e and addr ess of business; addr ess of college and cour se t it le; t ype of Social Welfar e r eceiv ed; det ails of r esour ces ( e. g. pension) .

4 . 1 Ty pe of act iv it y ( please t ick )

4 . 3 Det ails of cur r ent act iv it y

 

 

Em ploym ent

 

St udy

 

 

 

 

 

 

 

Self - em ploym ent

Residing w it h sufficient resour ces

Inv olunt ar y Unem ploym ent

4 . 2 Dat e of com m encem ent of act iv it y

Day

Mont h

Year

Se ct ion 5

D e t a ils of Le ga l Re pr e se n t a t ion ( if a p p lica b le )

5 . 1 Nam e of legal r epr esent at iv e

5 . 2 Addr ess of legal r epr esent at iv e

5 . 3 Aut hor isat ion by applicant

I her eby aut hor ise t he afor em ent ioned legal r epr esent at iv e t o act on m y behalf for m at t er s r elat ing t o t his r ev iew applicat ion .

Sign e d by a p p lica n t

D a t e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

Mon t h

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For m EU4 ( 10/ 2012) - Page 2 of 4

Se ct ion 6

D e t a ils of Re v ie w

6 . 1 St at em ent of t he gr ounds on w hich t he r equest er seek s t he r ev iew of t he decision m ade ( indicat ing w her e, in t he v iew of t he r equest er , t he deciding officer er r ed in fact and/ or in law )

6 . 2 Any addit ional st at em ent s w hich t he r equest er w ishes t o be consider ed

6 . 3 Addit ional docum ent at ion w hich t he r equest er w ishes t o be consider ed

i.

ii.

iii.

iv.

v .

For m EU4 ( 10/ 2012) - Page 3 of 4

Se ct ion 7

D e cla r a t io n s

Applicant

For a r e v ie w of a n a pplica t ion m a d e on For m EU 1 , EU 2 or EU 3 , t h is d e cla r a t ion sh ou ld b e sig n e d a n d d a t e d b y t h e a pplica n t or by t h e pa r e n t or gu a r dia n of a n a p plica n t u n de r t h e a g e of 1 8 .

The infor m at ion

I hav e

giv en

is com plet e and is t r ue

t o t he

best

of

m y k now ledge. I also

declar e t hat t he

phot ogr aphs

subm it t ed

w it h

t his for m

ar e

a

t r ue lik eness of

m e. I

confir m

t hat

if,

befor e m y applicat ion

is decided,

t her e

is a m at er ial

change in

m y

cir cum st ances or

new

infor m at ion

r elev ant

t o t his applicat ion becom es av ailable, I w ill infor m t he EU Tr eat y

Right s Sect ion

of t he Depar t m ent of

Just ice and Equalit y

in w r it ing im m ediat ely . I under st and t hat any

false or m isleading

infor m at ion or fr audulent suppor t ing docum ent at ion subm it t ed w ill r esult in t he r efusal of t his applicat ion .

 

 

I under st and

t hat , under Sect ion 8

of t he I m m igr at ion

Act 2003

and Regulat ion 1 9 of t he

Eur opean

Com m unit ies ( Fr ee

Mov em ent of Per sons) Regulat ions 2006 and 2008, t he dat a in t his applicat ion m ay be disclosed t o ot her I r ish Gov er nm ent Depar t m ent s as w ell as t o public aut hor it ies of t he Mem ber St at es of t he Eur opean Union and Eur opean Econom ic Ar ea ( EEA) for pur poses connect ed t o t his applicat ion . I consent t o t he EU Tr eat y Right s Sect ion m ak ing enquir ies t o confir m any of t he det ails or docum ent s pr ov ided by m e in t his applicat ion, including m y par t icipat ion in an int er v iew pr ocess.

I am aw ar e t hat a per son w ho asser t s an ent it lem ent t o any r ight s on t he basis of infor m at ion w hich he or she k now s t o be false or m isleading in a m at er ial par t icular shall be guilt y of an offence and shall be liable on sum m ar y conv ict ion t o a fine not ex ceeding € 5,000 or t o a t er m of im pr isonm ent not ex ceeding 12 m ont hs, or bot h .

Sign e d by a p plica n t

D a t e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

Mon t h

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

EU Cit izen

For a r e v ie w of a n a p p lica t ion m a d e on For m EU 1 or EU 3 , t h is d e cla r a t ion sh ou ld b e sig n e d a n d d a t e d b y t h e Eu r op e a n U n ion , EEA or Sw iss cit iz e n of w h om t h e a pplica n t is a f a m ily m e m be r .

The infor m at ion giv en in t his for m is com plet e and is t r ue t o t he best of m y k now ledge. I also declar e t hat t he phot ogr aphs subm it t ed w it h t his for m ar e of a t r ue lik eness of m e. I confir m t hat if, befor e t he applicat ion is decided, t her e is a m at er ial

change in m y

cir cum st ances or new

infor m at ion r elev ant

t o t his applicat ion becom es av ailable, I w ill infor m t he EU Tr eat y

Right s Sect ion

of t he Depar t m ent of

Just ice and Equalit y

in w r it ing im m ediat ely . I under st and t hat any

false or m isleading

infor m at ion or

fr audulent suppor t ing docum ent at ion subm it t ed w ill r esult in t he r efusal of t his applicat ion .

 

I under st and

t hat , under Sect ion 8

of t he I m m igr at ion

Act 2003 and Regulat ion 1 9 of t he Eur opean

Com m unit ies ( Fr ee

Mov em ent of Per sons) Regulat ions 2006 and 2008, t he dat a in t his applicat ion m ay be disclosed t o ot her I r ish Gov er nm ent Depar t m ent s as w ell as t o public aut hor it ies of t he Mem ber St at es of t he Eur opean Union and Eur opean Econom ic Ar ea ( EEA) for pur poses connect ed t o t his applicat ion . I consent t o t he EU Tr eat y Right s Sect ion m ak ing enquir ies t o confir m any of t he det ails or docum ent s pr ov ided by m e in t his applicat ion, including m y par t icipat ion in an int er v iew pr ocess.

I am aw ar e t hat a per son w ho asser t s an ent it lem ent t o any r ight s on t he basis of infor m at ion w hich he or she k now s t o be false or m isleading in a m at er ial par t icular shall be guilt y of an offence and shall be liable on sum m ar y conv ict ion t o a fine not ex ceeding € 5,000 or t o a t er m of im pr isonm ent not ex ceeding 12 m ont hs, or bot h .

Sign e d by Eu r op e a n U n ion , EEA or Sw iss Cit iz e n

D a t e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

Mon t h

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

Please r et ur n com plet ed for m s and or iginal docum ent s by r egist er ed post t o:

EU Tr e a t y Righ t s Re v ie w U n it

Ir ish N a t u r a lisa t ion & I m m igr a t ion Se r v ice D e pa r t m e n t of Ju st ice a n d Equ a lit y

1 3 / 1 4 Bu r g h Qu a y D u b lin 2

For m EU4 ( 10/ 2012) - Page 4 of 4