Form Hrc 1 PDF Details

The HRC 1 form, a critical document for individuals seeking to establish their habitual residence in the Republic of Ireland, plays a pivotal role in the social welfare application process, necessitating a detailed understanding for accurate completion. Designed to assess the applicant's strong and stable connection to the state, the form encapsulates several essential elements, from personal to residency details, underpinning the Habitual Residence Condition. Applicants must demonstrate their continuous connection through various factors including birth, upbringing, employment history, family and community ties, and overall life situation within Ireland. To navigate the application process smoothly, individuals are required to furnish their Personal Public Service (PPS) Number, and fill out the form thoroughly using clear instructions provided, ensuring all questions are answered to avoid delays. Critical to avoiding legal repercussions, honesty in declaring information is underscored, with a strict advisory against false statements. Additionally, the form accommodates those with diverse civil statuses and offers provisions for non-EEA or UK nationals, stressing the importance of valid permits and legal residency. Guidance on completing the form is readily available, as applicants are encouraged to reach out to local Intreo centres, Social Welfare offices, or Citizens Information Centres for assistance. This comprehensive approach aims not only to streamline the welfare application process but also to uphold the integrity and fairness of Ireland's social support system.

QuestionAnswer
Form NameForm Hrc 1
Form Length24 pages
Fillable?No
Fillable fields0
Avg. time to fill out6 min
Other nameshrc1 child benefit, form hrc 1, hrc1 form online, social welfare services habitual

Form Preview Example

Application form for

Habitual Residence Condition

Social Welfare Services

HRC 1

Data Classification R

Thank you for your application for

on

D D M M 2

0

Y Y

However, we need more information to decide if you are habitually resident in the Republic of Ireland. Please answer the questions in this form to help us decide.

What does Habitual Residence mean?

Being habitually resident means that you are living in the Republic of Ireland and can prove that you have a close link to the State.

How do I qualify for Habitual Residence?

Factors taken into consideration when deciding if a person is habitually resident in the Republic of Ireland include:

•If you were born and raised here;

•If you have a right to live here;

•The length of time you have lived here and if you have lived here continuously;

•If you have worked here;

•If you have close family ties or ties with the community here; and

•Your general living situation here.

Time spent outside the Republic of Ireland on short holidays, studying or travelling does not exclude a person from being regarded as habitually resident

What do I need to complete this form?

• You need a Personal Public Service (PPS) Number before you apply.

How do I complete this application form?

•There is an example on the back of this page that can be used as a guide to fill in this form.

•Write with a black ballpoint pen.

•Use BLOCK LETTERS and place an X in the relevant boxes.

•Answer all the questions as incomplete forms will be returned and this may delay your application.

•Sign the declaration in Part 1.

How can I get help and further information?

If you need any help to complete this form, please contact your local Intreo Centre, Social Welfare Office or any Citizens Information Centre. You can find the name and address of your local Intreo Centre or Social Welfare Office by visiting www.gov.ie/intreo

For more information on the Habitual Residence Condition visit www.gov.ie/hrc

How to fill in this form

To help us to process your application write letters and numbers clearly and use one box for each. Please see examples below.

Part 1

Your own details

1.Your PPS Number:

2.Title, insert an ‘X’ or specify:

3.Surname:

4.First names:

5.Your first name as it appears on your birth certificate:

6.Birth surname:

7.Your date of birth:

8. Your mother’s birth surname:

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Contact Details

9.Your address:

County

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10. Your telephone numbers:

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SAMPLE

PAGE 2

Application form for

Habitual Residence Condition

Social Welfare Services

HRC 1

Data Classification R

Part 1

1.Your PPS Number:

2.Title, insert an ‘X’ or specify:

3.Surname:

4.First names:

5.Your first name as it appears on your birth certificate:

6. Birth surname:

7.Your date of birth:

8. Your mother’s birth surname:

Your own details

Mr

Mrs

 

Ms

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D D M M Y Y Y Y

Contact Details

9.Your address:

County

10.Your telephone numbers:

Eircode

Mobile

Landline

11. Your email address:

Declaration

I declare that the information given by me on this form is truthful and complete. I understand that if any of the information I provide is untrue or misleading or if I fail to disclose any relevant information, that I will be required to repay any payment I receive from the department and that I may be prosecuted. I undertake to immediately advise the department of any change in my circumstances which may affect my continued entitlement.

Date:

D D M M

Signature not block letters.

2 0

Y Y Y Y

Warning: If you make a false statement or withhold information, you may be prosecuted leading to a

fine, a prison term or both.

PAGE 1

Part 1 continued

Your own details

12.Are you?

13.If you are:

Married or entered into a civil partnership, from what date?

Cohabiting, from what date?

Separated, divorced or civil partnership dissolved, from what date?

 

Single

 

 

 

 

 

 

 

 

Cohabiting

 

Married

 

 

 

 

 

 

 

 

In a Civil Partnership

 

Separated

 

 

 

 

 

 

A surviving Civil Partner

 

Divorced

 

 

 

 

 

 

A former Civil Partner

 

Widowed

 

 

 

 

 

 

(you were in a Civil Partnership

 

 

 

 

 

 

 

that has since been dissolved)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Y

Note: A copy of your divorce or separation papers must be submitted with your claim.

If your spouse, civil partner or cohabitant died, what was their date of death?

D D M M Y Y Y Y

14.Would you like an interpreter service to help us process your application?

Yes

No

15.Do you have a current Irish Residence Permit (IRP) Card?

Yes

If yes, please state:

Your IRP Number:

16.What country were you born in?

17. Your nationality?

No

PAGE 2

Part 1 continued

Your own details

18.If you are not an EEA or UK national, do you hold a current:

Irish Residence Permit?

Irish Employment Permit?

Student Visa?

Yes

Yes

Yes

No

No

No

Note: The European Economic Area (EEA) comprises the Member States of the European Union together with Iceland, Norway and Liechtenstein.

If you answer yes to any of the three questions above, please enclose your original permit and your original letter from the Department of Justice which sets out the reasons why you have been granted permission to reside in the Republic of Ireland.

If you do not have a current or valid permit, have you applied for a permit renewal?

Yes

No

Please give further details as to your residency and/or employment status. Please enclose any relevant documentation, for example, your original most recent permit and a copy of your renewal application.

Residency outside the Republic of Ireland

19.Please give details of each country, outside the Republic of Ireland, that you have lived in.

Country 1

Country:

Dates: From:

To:

D D M M Y Y Y Y

Your social insurance number while there:

Did you have the necessary permission to reside in that country?

Yes

No

If no, please outline the circumstances of your residency:

How did you support yourself while you lived in that country?

Note: A separate sheet of paper can be used for more details if needed.

PAGE 3

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