The Application Form

A computer with Adobe Acrobat Reader DC installed is required to open and fill the Application form.

If you don’t have Adobe Reader on your computer, you can download it for free here.

Adobe may suggest installing software from other companies along with Reader. Usually you do not want or need those, so uncheck them unless you’re sure you want them. If you use PDF products apart from Adobe Reader DC, e.g. Adobe Pro, the form may not be fully functional.

  • You will be emailed an Application Form to the email address you provided once your Registration Form has been processed by the SEC.
  • Open your email account on your computer browser (do not use Microsoft Edge)
  • If you do not see the email with the Application Form attached in your inbox, check the junk/spam mail folder
  • Open the email sent to you by the SEC.

Scroll to the bottom of the email and you will see attachments

Hover your mouse over the attachment and the box will change.

Click the down button, highlighted by the red circle. This is the download button.

The Application Form has downloaded when you see this box appear in the left hand corner of your screen.

Click the up arrow circled in red.

Select ‘show in folder’ circled in red.

A folder will open. Right click on the downloaded file

  • Select ‘Open with Adobe Acrobat 2017’ circled in red (If this option is not available it may mean you need to download Adobe Acrobat Reader DC. Click here to download)
  • You will be prompted for a password. You will have received a password by SMS to the mobile number you provided on your Registration Form.Enter the password (including the !, . and # symbols) and click ok or press the enter key
  • An Activation Button has been included on the Application Form to ensure your computer is compatible with the Application Form and so that you can submit it successfully once you have filled it in.
  • When you click the Activation Button, you will be asked to input your selected email address (we recommend Gmail). The Application Form is not compatible with Hotmail.
  • A draft email will be generated and will open automatically in your browser.
  • Click send and you will receive the activation code in an email to your inbox.
  • Input the activation code into the Application Form and press the enter key on keyboard.“This form is unlocked” will appear.
  • Start filling in the Application Form with your details.

See http://secgrant.ie/faqs if you are experiencing difficulties opening the form, activating the form or submitting the form online.

Carefully review that you have done all of the above and read the FAQs before emailing support@secgrant.ie for technical assistance

Click the  symbol beside each section on the form for hints and examples.

Filling in the Application Form

Before filling in the Application Form review the eligibility criteria and how the means test is calculated here: http://secgrant.ie/how-to-apply/

Ensure that you fill in the Application Form with complete and accurate information as failure to do this will delay processing of your application.

The following documents will be of assistance when filling in your application form, depending on your financial situation:

  • 2018 Revenue documents (Form 11 return summary or P21 tax balancing statement and P60)
  • Social Welfare annual statements for 2018
  • Mortgage Statement or Rent receipts showing monthly payments
  • Current balance of your savings account, investments, shares, prize bonds etc.
  • MED2 form for Special Circumstances

The Application Form comprises of the following sections:

Section A – Children for whom the grant is being applied for

Section B – Parent/Guardian Details

Section C – Family Income Details (for 2018)

Section D – Family Home and farm/business property

Section E – List of Assets (including asset you receive rent income from)

Section F – List of Liabilities

Section G – Special Circumstances

Verification of Protestant Denomination

Documentation Page – (a list of documents you will need to provide with your printed, paper    application form, depending on your circumstances. Clear photocopies accepted)

Declaration Page

Address Label (for sending your printed signed application form and supporting documents to SEC offices P.O. Box 12924, Dublin 14)

Section A – Children for whom the grant is being applied for

Your dependent children as entered by you on your Registration Form have been recorded on our system.

Children’s initials and birth month only are included for security reasons.

Select your child’s religion from the dropdown list.

If your child’s religion is not on the dropdown list, email info@secgrant.ie

The List of SEC Approved Religions can be found here http://secgrant.ie/list-of-approved-churches/

Section B – Parent/Guardian Details

Parent/Guardian 1

Select your current employment status. If you have had a change in employment status since 2018 e.g. made redundant, note in comment box and provide a cover letter with your posted application, with figures.

The letter should outline your current financial circumstances to allow the SEC office to accurately calculate your means test. Also provide appropriate supporting documents e.g. P45, Social Welfare statement etc.

  • Employer name

If you are self-employed input “self”

  • Occupation/Profession

e.g. Nurse, Farmer, Artist etc.

  • Marital Status

If your children are living with you and a partner and your partner is not your children’s biological parent, you must provide your partner’s income details. Provide a cover letter and separation agreement outlining the financial maintenance paid to you by your children’s biological parent or by you to a former partner.

Married

Income details of both spouses need to be provided

Geographical separation is not a marital status

If your partner is living and/or working overseas, financial income documents must be provided or your application will be delayed.

Legally separated

Provide separation agreement documents showing custody arrangements of all children and financial support agreement.

Recently separated, yet to be formalised

Provide a cover letter with your supporting financial documents outlining the financial support arrangement with the other parent of your children. Enter date of separation in Comments box.

Single, living alone

Select Single if you are a single unmarried parent raising your children alone without the support of a spouse, civil partner or partner and you are not cohabiting.

Widowed

If Parent 2 is deceased, please provide a photocopy of the death certificate with your supporting documents if you are applying for the first time as a widow/er.

Divorced

Provide divorce agreement documents showing custody arrangements of all children and financial support agreement.

Divorced and Remarried

Provide separation documents showing any financial maintenance agreement. Enter details and income of new partner.

Parent/Guardian 2

Enter the details of your child’s other parent or the person you are cohabiting with.

Section C – Family Income Details

Enter Income details from your 2018 Form 11 return summary or P21 balancing statement (request from revenue) and P60 in this section.

Pick the option that most closely describes you:

Note which Revenue document to request from Revenue and provide to the SEC

Individually Assessed PAYE

I am a PAYE worker and my partner is a PAYE worker and we are separately assessed by Revenue

Two P21 balancing statement’s in each person’s name and two p60’s

Individually Self-Assessed

I am self-employed and my partner is self-employed and we are separately assessed by Revenue

Two Form 11’s and Company Accounts in each person’s name

Joint Assessed PAYE

I am a PAYE worker and my partner is a PAYE worker and we are jointly assessed by Revenue

One P21 balancing statement which will have both incomes on it and two P60s

I am a PAYE worker and my partner is a homemaker/unemployed

One P21 balancing statement and P60

Joint Self-Assessed

I am self-employed and my partner is a PAYE worker and we are jointly assessed by Revenue

Form 11 and Company Accounts (if applicable)

Both myself and my partner are self-employed and we are jointly assessed by Revenue

Form 11 and Company Accounts (if applicable)

I am self-employed and my partner is a homemaker/unemployed

Form 11 and Company Accounts (if applicable)

I am a PAYE worker and my partner is a PAYE worker and we receive rent for land or a property and we are jointly assessed

Form 11 only

I receive social welfare and my partner is a PAYE worker and we receive rent for land or property

Form 11 and social welfare statement

Single PAYE Assessment for a Single Income

I am single and I am a PAYE worker

One P21 balancing statement and P60

I am single, a PAYE worker and I receive Social Welfare

P21 balancing statement, P60 and social welfare statement

Single Self-Assessment for a Single Income

I am single and I am self employed

Form 11 and Company Accounts (if applicable)

I am single, I receive social welfare and rental income

Form 11 and social welfare statement

Singly assessed PAYE and Singly Self-Assessed

I am self-employed and my partner is a PAYE worker and we are separately assessed by Revenue

Form 11, company accounts (if applicable), P21 balancing statement and P60

I or my partner receive rent from land or property and we are assessed by Revenue separately

Form 11 for person receiving rent and P21 balancing statement and P60 if other person is PAYE, social welfare statement if other person is unemployed, retired, receives illness benefit, carers benefit etc.

Social Welfare Only

Both myself and my partner receive social welfare only

Social Welfare statement’s with both parent’s names on it

I am single and I receive social welfare only

Social Welfare statement

See http://secgrant.ie/faqs/#Income for which figures on your Form 11 or P21 balancing statement to input on your Application Form

Social Welfare Payment

All social welfare payments must be entered here.

If your social welfare payment type is not on the list, select other

Provide a social welfare statement detailing all payments for 2018 only

Weekly slips are not accepted 

Non-taxable other sources of Income

Enter payments made to you by a former partner e.g financial maintenance support, any financial assistance, monetary gifts or donations from family or friends, forestry payments etc.

Select ‘Other’ for any other form of income not captured by the provided options

Select ‘None’ if no non-taxable income is received and unnecessary boxes will disappear.

Section D – Family Home

Family Home

Select whether your family home (where you and your children whom the grant is being applied for live) is owned mortgage free, with a mortgage, provided rent free or rented.

Find your Eircode here: https://finder.eircode.ie

Family Farm/Business

If you own/rent a property from which you run your primary business e.g. a farm, a crèche etc. enter its details here.

If you rent additional land as part of your business do not include it here

Select ‘None’ if you do not have a farm/business property

Section E – Property Assets

All property assets are to be listed including any land (other than your farm/primary business) and holiday homes.

Only property/land owned by you in addition to your home and farm/business is to be entered here.

If you do not receive rental income from this other property enter €0.01 for Rental Income per Month.

Select ‘None’ if this option does not apply to you

Other Assets including Inherited Assets

Declare all liquid assets including low value savings accounts and prize bonds.

Provide current statements for all savings/credit union/building society accounts owed and also Investment bond and shares statement

Section G – Special Circumstances

What do I need to include with my documents to get my medical costs included?

The following are examples of Special Circumstances that could be included on your application if they apply to you.

Special Circumstances are considered on a case by case basis and a clear cover letter with an outline of the costs to you in 2018 only would be helpful.

It is assumed that all available tax relief will be claimed by you

You paid for, or partially paid for Professional Home Carer to attend to your elderly relative in their home:

Provide a cover letter outlining the proportion of the cost to you.

Tax claim form eg Form 12

Provide a social welfare statement if you receive any social welfare in relation to the care of your elderly relative

Example

You pay 25% of your relative’s home care bill of €40,000 per annum. You pay tax at a higher rate. Respite grant of €1700 is received.

Bill €40,000 – €1700 =  €38,000

Your expense is €38,300 x 25% = €9575

Your tax relief is €9575 x 40% = €3830

Maximum Special Circumstances allowance in this example: €5745

Your elderly relative spent a short period of 2018 in a nursing home and you paid or shared the cost with other relatives

Provide a cover letter outlining the total cost and what percentage of the total cost you paid. Please include dates.

Tax claim form eg form 12

The SEC will not include additional nursing home costs eg activities

Example

The average wait time between applying for the Fair Deal Scheme and approval is 4-6 weeks.

Average nursing home cost is €1610 per week.

Maximum of four weeks will be considered by the SEC

You pay 40% of your relatives nursing home costs of €1800 per week plus €150 activity costs. No respite grant is received. You pay tax at 20%. Your relative stayed in nursing home for six weeks and received a total bill of €11,700. Your portion to pay is €4680

SEC allowable costs: €1610 x 4 = €6440

Your contribution: €6440 x 40% = €2576

Applicant tax relief: €2576 x 20% = €515.20

Special Circumstance: €2576 – €515.20 = €2060.80

You pay for long term nursing home costs:

The Fair Deal Scheme is available to all people who require long term nursing home care.

If you paid for costs before your relative’s fair deal scheme was finalised please outline this in a letter listing costs in 2018 and the date that the Fair Deal Scheme was finalised. See previous example

Provide bill, receipt and bank statement highlighting the payment in 2018.

Provide a copy of communication from Fair Deal Scheme confirming your application

You, your partner or one of your dependents has a long term illness

Provide Tax claim form eg form 12

If you have additional costs not provided by other schemes: provide a letter outlining costs to you in 2018 associated with the long term illness e.g. specialised equipment, adaption of your house, cost of getting to appointments/hospital, overnight stays etc

Your child has Dyslexia and in 2018 received a psychological assessment and attends special classes in addition to school

The SEC does not consider special circumstances for Dyslexia unless costs were deemed necessary by an education psychologist.

Your child has Dyspraxia or DCD

Provide a cover letter listing costs of supports and/or classes your child attends in relation to their Dyspraxia.

Provide documentary evidence showing a professional recommendation for your child to attend certain classes/activities due to dyspraxia

An example of support: occupational therapy, physiotherapy, exercise programmes, counselling for child or parents, psychotherapy, drama therapy, speech and language therapy

Please contact info@secgrant.ie or 01 551 4693 if you wish to discuss your circumstances or are unsure which documents to provide

Verification of Protestant Denomination

To be eligible to apply for the grant you must verify that your child is an active member of a SEC approved Protestant denomination.

School Chaplain’s cannot verify Protestant Denomination unless they are also the child’s home parish Rector/Minister

Type all details including charity number of your child’s minister and church in the red boxes.

After you print the form, bring to your minister who will fill and sign the rest of the page

Documentation Page

Read this page carefully.

Included are all documents you may be asked for.

Once your online application is received by the SEC office by email and processed you will receive an email with your personal document list, detailing all documents you will need to provide.

Submitting the form to the SEC office online

  • Read and tick the declaration box.
  • Click Verify, if the form is filled correctly a Submit button will appear. When you click the Submit button a draft email will be created in your email draft folder (should open automatically).
  • Click send on the draft email and when received by the SEC office you will receive a confirmation email.
  • If the form is not filled correctly, an error box will appear when you click the Verify button.

Check that all red boxes are filled.

Enter None for unneeded boxes to disappear.

Enter €0.01 instead of €0.00.

Click Verify and Submit and follow the above instructions.

Error Box Codes

Asset1/2/3/4/5 – Section E. Other Asset Description

AssetCost1/2/3/4/5 – Section E. Amount Invested of Other Asset

AssetCurrent1/2/3/4/5 – Section E. Current Value of Other Asset

AssetDate1/2/3/4/5 – Section E. Date of Investment (year only is acceptable) of Other Asset

AssetInc1/2/3/4/5 – Section E. Income pa (per annum) of Other Asset

AssetType1/2/3/4/5 – Section E. Type of Other Asset

CheckBox1 – Declaration of Application tick box

Cost1/2/3/4 – Section E. Purchase Cost of your property asset

Director1/2 – Section B. Company Director

Eircode1/2/3/4 – Section E. Eircode of your property asset

Employment1 – Section B. Enter your Employment Status

Employment2 – Section B. Your partner/parent/guardian 2’s Employment Status

HomeCost1 – Section D. Purchase Cost. How much you bought your home for

HomeCost2 – Section D. Family Farm/Business Purchase Cost.

HomeCurrent1 – Section D. Current Value of your family home

HomeCurrent2 – Section D. Family Farm/Business Current Value

HomeDate1 – Section D. Year you began living in your current home

HomeDate2 – Section D. Family Farm/Business Year of Purchase

HomeEircode1 – Section D. Enter the Eircode of your family home

HomeEircode2 – Section D. Family Farm/Business Eircode

HomeMort1 – Section D. Outstanding Loan Balance

HomeMort2 – Section D. Family Farm/Business Outstanding Loan Balance

HomeRental1 – Section D. Rental per month of your family home

HomeRental2 – Section D. Rental per month of your family farm/business

HomeRepay1 – Section D. Repayments per month of your family home loan

HomeRepay2 – Section D. Repayments per month of your family farm/business

HomeType1 – Section D. Family Home description

HomeType2 – Section D. Family Farm/Business description

Income1/2 – Section C. PAYE gross income OR Form 11 total income. Are both left and right boxes filled?

LiabAmount1/2/3/4 – Section F. Monthly Repayments of Liability

LiabPurpose1/2/3/4 – Section F. Purpose of Liability/loan

LiabTerm1/2/3/4 – Section F. Balance Outstanding of Liability

LiabType1/2/3/4 – Section F. Liability Type

Occupation 1/2 – Section B. Occupation/Profession e.g. Farmer, Nurse, Carer etc.

PropCurrent1/2/3/4 – Section E. Current Value of your property asset

PropDate1/2/3/4 – Section E. Year acquired of your property asset

PropertyType1/2/3/4 – Section E. Asset type of your property asset

PropMort1/2/3/4 – Section E. Outstanding Loan Balance of your property asset

PropRepay1/2/3/4 – Section E. Repayments per month of your property asset

PRSI1/2 – Section C. PRSI

Relation 1/2 – Section B. Relationship to Children

Religion1 – Section A. Select your child’s religion from the dropdown list. Email info@secgrant.ie if your religion is not on the dropdown list.

ReligionA1/A2 – Section B. Religion of parent/guardian 1 or 2

ReligionC1 – Verification of Protestant Denomination. Name of rector/minister/pastor/quaker clerk

ReligionC2 – Name of Church/Quaker meeting and Charity number

ReligionC3 – Official Address of Protestant Parish, congregation, Quaker meeting etc.

ReligionC4 – Verification of Protestant Denomination. Telephone number

ReligionC5 – Verification of Protestant Denomination. Email Address

RentalInc1/2/3/4 – Section E. Rental Income per month of your property asset

SCTotal – Section G. Total financial impact of Special Circumstances

SI1/2/3/4 – Section C. Non-taxable other sources of Income type

SIAmount1/2/3/4 – Section C. Non-taxable other sources of Income amount

Special1 – Section G. Description of Special Circumstances

SW1/2 – Section C. Social Welfare Payment type

SWAmount1/2 – Section C. Social Welfare Payment amount received in 2018

Tax1/2 – Section C. Tax OR Total amount of tax chargeable

TaxType1 – Section C. Income taxed on the basis of

USC1/2 – Section C. USC