Application Form for Fuel Allowance under the National Fuel Scheme
How to complete application form for Fuel Allowance under the National Fuel
• Please use this page as a guide to filling in this form.
• Please use BLACK ball point pen.
• Please use BLOCK LETTERS and place an X in the relevant boxes.
• Please answer all questions that apply to you. If a question does not apply to
you, please leave the answer area blank.
• You need a Personal Public Service Number (PPS No.) before you apply.
Please fill in all parts as they apply to you. When form is completed, sign
declaration in Part 1.
If you need any help to complete this form, please contact your local Social
Welfare Office or Citizens Information Centre.
For more information, log on to www.welfare.ie.
Social Welfare Services
Application form for
Fuel Allowance under the
National Fuel Scheme
Application Form for Fuel Allowance under the National Fuel Scheme PDF
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