form BTW 2 - Welfare.ie
form BTW 2 - Welfare.ie
form BTW 2 - Welfare.ie
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For official Departmental use only<br />
To be completed at local Social <strong>Welfare</strong> Office where the applicant is getting Jobseeker’s<br />
Allowance, Jobseeker’s Benefit or Pre-Retirement Allowance.<br />
Jobseeker’s Claim Commenced:<br />
Overpayment Details<br />
JA personal rate<br />
Qualif<strong>ie</strong>d adult rate<br />
QC rate<br />
Less means<br />
JA weekly total<br />
Date of cessation:<br />
LT days<br />
ST JA<br />
LT JA<br />
JB + JA<br />
QCI contd. pyt.<br />
€<br />
€<br />
€<br />
€<br />
€<br />
Original amount €<br />
Deductions €<br />
Balance €<br />
Casual signer<br />
Free fuel entitlement<br />
Yes<br />
Yes<br />
No<br />
No<br />
Amount<br />
€<br />
Signed:<br />
Date:<br />
LO or BEO No.
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