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Notes on Completing the Application Form

All sections of the application should be completed by you.  If a section does not apply to your circumstances, please state so. Any information omitted by you may affect your application.

APPLICATION:  In the case of married couples or other joint applicants details for both should be included in Section.

OCCUPATION:  State if employed (position held, e.g. driver, etc): Unemployed, Student, Or Other (Specify).

INCOME: If employed attached Certificate of Income must be submitted together with recent P60 Tax Form OR  2 recent payslips.

If unemployed attached Certificate of Amount of Benefit or Assistance from the Department of Social Welfare Officer, as appropriate, must be submitted.

Please note proof of income must be supplied in respect of every member of the household.

HEALTH: If you are seeking housing on medical grounds, a Medical Certificate must be submitted.If no certificate is submitted your claim will be disregarded.

This form should be returned to Laois County Council, Housing Department, Áras an Chontae, Portlaoise, Co. Laois.

In the case of Demountable Dwellings and Single Rural Dwellings, the site must be provided by the applicant.

If assistance is required in completing this Application Form (Tenant Purchase Scheme), please do not hesitate to request assistance from the Housing Department.

Please note only the following are eligible to apply for Housing (a) Irish Citizens (b) E.U. citizens or (c) holders of a Garda National Immigration Bureau Card with Stamp No. 4.