Claim Forms
Forms available for downloading:
Form Med 1 - Health Expenses Claim for Tax Relief (PDF, 767KB) - (Updated December 2011)- Form Med 2 - Dental Expenses - Certificate by Dental Practitioner (PDF, 86KB)
- Form 12A - Application for a Certificate of Tax Credits and Standard Rate Cut-Off Point (PDF, 216KB)
- Form P50 - First Claim for Repayment During Unemployment (PDF, 141KB)
- Tax Relief for Service Charges Paid (PDF, 257KB)
- Form OP1 - Claim for One Parent Family Tax Credit (PDF, 593KB)
- Form Rent 1 - Claim for Rent Relief on Private Rented Accommodation (PDF, 266KB)
- Form HK1 - Claim for an Allowance for Employing a Carer (PDF, 214KB)
- Form DR1 - Claim for Dependent Relative Tax Credit (PDF, 332KB) (Download and complete on screen)
- Form DR2 - Claim for a son or daughter on whose services you depend (PDF, 520KB) (Download and complete on screen)
- Claim Form for Car Expenses & Capital Allowances (PDF, 598KB)
- Claim Form for Home Carer's Tax Credit (PDF, 363KB)
- Claim Form for Incapacitated Child Tax Credit (PDF, 241KB)
- Form RJA1 - Revenue Job Assist Claim Form (PDF, 294KB)
- Application for Increased Exemption on Lump Sum Payments on Redundancy or Retirement (PDF, 137KB)
- Claim Form for Deed of Covenant (PDF, 209 KB)
- Claim Form for Owner-Occupier Relief (PDF, 194KB)
- Claim for Relief for Legally Enforceable Maintenance Payments (PDF, 243KB)
- Claim Form for Blind Person's Tax Credit & Guide Dog Allowance (PDF, 98KB)
- Claim for Medical Insurance Relief & Age-Related Tax Credit (PDF, 188KB)
- CGPRSI1 - Application for PRSI refund in respect of Pension Contributions (PDF, 57KB)
- Overseas Pension 1 - Claim form in respect of pension contributions paid under an Overseas Pension Plan (PDF, 37KB)
- Form P46 - Notification to Inspector of Taxes of particulars of an employee for whom a Tax Deduction Card or a Certificate of Tax Credits is required (PDF, 64KB)
- Form 54 Claims - Income Tax Repayment Claim for the year 2011 (PDF, 250KB) (Incorporating Form 54D - Claim for Repayment of Deposit Interest Retention Tax for the year 2011). (This form should be used to claim a repayment of income tax deducted from income at source e.g. annuities, covenants, deposit interest retention tax, dividend withholding tax etc. It is not suitable for a taxpayer whose income sources include salaries, wages, pensions etc. to which PAYE applies or who is subject to tax by annual assessment ).
- Form IC1 (Business Individual) - Tax Repayment/ Exemption Claim Form (PDF, 171KB)
- Form IC2 (Private Individual) - Tax Repayment/Exemption Claim Form (PDF, 159KB)
- Form IC3 (Company) - Tax Repayment/Exemption Claim Form (PDF, 181KB)
- Artist Exemption
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Claim Form 2
(PDF, 237KB)
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Claim Form 3
(PDF, 266KB)
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- CHY2 Cert - Appropriate Certificate - Tax Relief for Donations to Eligible Charities and Approved Bodies Appropriate Certificate for the purposes of Section 848A Taxes Consolidation Act 1997 (PDF, 266KB)
- CHY2 Authorisation - Application to Revenue for Authorisation as an ‘Eligible Charity’ for the purposes of Section 848A Taxes Consolidation Act 1997 (Donations to Eligible Charities and Other Approved Bodies) (PDF, 56KB)
- Form 68 - Claim by a Charity for Repayment of Withholding Tax Deducted (PDF, 122KB)
- Form 848A - Donations Scheme - Claim for Repayment of Income Tax by Eligible Charities and other Approved Bodies under Section 848A TCA 1997 (PDF, 57KB)
- Form 847A - Claim for Repayment of Income Tax by Approved Sports Bodies under Section 847A TCA 1997 (PDF, 184KB)
- Claim for Tax Relief for Donations to an Approved Sports Body ("Appropriate Certificate" for the purposes of Section 847A TCA 1997
(To be completed by donors who are solely PAYE taxpayers)) (PDF, 206KB)
Application form for Certification of a Film Project under Section 481 of the Taxes Consolidation Act 1997. As amended. (MS Word, 125KB)- Form Film 1 - Tax relief for Investment in Films Company Statement (see note 1) Section 481 Taxes Consolidation Act, 1997 (PDF, 72KB)
- EII Outline - Relief for Investment in Corporate Trades Application for Outline approval for the Employment and Investment Incentive (PDF, 398KB)
- EII 1 - Income Tax Relief for Investment in Corporate Trades for the Employment and Investment Incentive (EII) (PDF, 333KB)
- RICT 1 - Income Tax Relief for Investment in Corporate Trades (PDF, 114KB)
- RICT OUTLINE - Relief for Investment in Corporate Trades Application for Outline Approval (PDF, 110KB)
- RINE-I Form - Seed Capital Scheme - Individual Investor's Application Form with effect from 25th November 2011 (PDF, 216KB)
- RINE-C Form - Seed Capital Scheme - Company's Application Form with effect from 25th November 2011 (PDF, 262KB)
- RINE-I Form - Seed Capital Scheme - Individual Investor's Application Form with effect until 24th November 2011 (PDF, 98KB)
- RINE-C Form - Seed Capital Scheme -Company's Application Form with effect until 24th November 2011 (PDF, 107KB)
- Protective Notification (PDF,100KB)
- Form SB1 - Building - Application form for a determination in respect of public access to a building, Section 482 of the Taxes Consolidation Act 1997 (PDF, 242KB)
- Form SB1A - Guesthouse - Application form for a determination in respect of Tourist Accommodation Facility, Section 482 of the Taxes Consolidation Act 1997 (PDF, 230KB)
- Form SB2 - Gardens - Application form for a determination in respect of public access to a garden, Section 482 of the Taxes Consolidation Act 1997 (PDF, 268KB)
- Form MD1 - Mandatory Disclosure of Certain Transactions (Promoters) (PDF, 420KB)
- Form MD2 - Mandatory Disclosure of Certain Transactions (Transaction Users) (PDF, 550KB)
- Form MD3 - Mandatory Disclosure of Certain Transactions Continuation Sheet (PDF, 196KB)
- Form MD4 - Mandatory Disclosure of Certain Transactions (Client List) (PDF, 534KB)
- Form MD5 - Mandatory Disclosure of Certain Transactions Client List - Continuation Sheet (PDF, 208KB)
- Personal Fund Threshold Notification Form (PDF, 163KB)
