Application Form: State Pension (Contributory) (SPC1)

Application form for State Pension Contributory

Data Classification R

Social Welfare Services

SPC1

What is State Pension Contributory?

State Pension Contributory (SPC) is a payment which you may qualify for from 66 years of age.

This pension is based on your social insurance contributions. It is not means tested so you can work while

claiming your SPC.

You can claim your pension from any date between age 66 and 70. This may give you the opportunity to

improve your contribution record, or receive an enhanced rate of payment associated with your chosen

claim date, or both, depending on your circumstances. For more information, please visit www.gov.ie/spc

You should apply six months before you intend to claim your pension.

If you live in Ireland and you have previously lived or worked in an EU country, the UK or a country with

which Ireland has a Bilateral Social Security Agreement, we will apply for a pension to that country on your

behalf.

If you are getting Invalidity Pension, you will automatically transfer to SPC when you reach 66 years.

How do I qualify?

To qualify for State Pension Contributory, you must:

• be aged 66 or over; and

• satisfy certain social insurance contribution conditions.

How do I complete this application form?

There are examples on the back of this page that can be used as a guide to fill in this form. Please:

• write with a black ballpoint pen, use capital letters and place an X in the relevant boxes;

• study the checklist in Part 9 and sign and date the declaration in Part 2.

How do I apply?

Please send this completed form to:

State Pension Contributory Section

Department of Social Protection

College Road

Sligo

F91 T384

How can I get further information and help?

For more information, please visit www.gov.ie/spc.

If you need any help to complete this form, please contact the State Pension Contributory Section, your

local Intreo Centre, Branch Office or any Citizens Information Centre. You can find the name and address

of your local Intreo Centre or Branch Office by visiting www.gov.ie/intreocentres.

What can I do in advance of submitting my application?

Review your contribution statement online at www.MyWelfare.ie.

Pension Caring Supports can help you to qualify for SPC. Apply if you ever provided full time care to:

• a child who was under 12 years of age at the time the care was provided; or

• a child who was over 12 years of age who needed an increased level of care; or

• an adult who needed an increased level of care.

Additional information is available at Part 10.

The quickest way to apply for Pension Caring Supports is online at www.MyWelfare.ie.

To access MyWelfare.ie services you will need a verified MyGovID account.

To help us process your application, write letters and numbers clearly and use one box for each.

Please see examples below.

How to ll in this form

Part 1 Your details

1. PPS Number:

3. Surname:

8. Date of birth:

4. First names:

2. Title, insert an X or specify:

6. Birth surname:

10. Telephone number:

11. Email address:

9. Address:

M U R P H Y

M A U R E E N

M C D E R M O T T

1 N E W S T R E E T

O L D T O W N

D O N E G A L T O W N

County D O N E G A L C 1 5 A 9 6 V

Eircode

2 8 0 2 1 9 7 0

D D M M Y Y Y Y

0881234567

Mr Mrs Ms

XOther

1234567T

M M U R P H Y @W E L F A R E . I E

SAMPLE

Note: If you enter your mobile number we may text you in connection with your claim.

5. First name as it appears on

your birth certificate: M A R Y

7. Mother’s birth surname: M C D E R M O T T