Carer's Support Grant Application Form (CSG1)

• Published date: 19 February 2020
• Issuer: Department of Social Protection

Page 1

What is the Carer’s Support Grant?

The Carer’s Support Grant is an annual payment made to carers who get Carer’s Allowance,

Carer’s Benefit or Domiciliary Care Allowance. It can also be paid to certain other carers

providing full time care. Carers can use the grant in whatever way they wish. Often carers use

the grant to pay for respite care.

Who can get the Carer’s Support Grant?

You automatically qualify for the Carer’s Support Grant if you get Carer’s Allowance, Carer’s

Benefit, or Domiciliary Care Allowance. If you are not getting any of these payments, you may

still qualify if you meet the conditions below.

To qualify you must:

• Be 16 years of age or over;

• Ordinarily reside in the State; and

• Care for the person full time for a continuous period of at least six months and

this must include the first Thursday in June of the year you are claiming for.

During the 6 month caring period you cannot:

• Get Jobseeker’s Benefit or Allowance;

• Sign on for credited contributions; and

• Work or attend an education or training course for more than 18.5 hours a week.

How do I apply?

If you are getting Carer’s Allowance, Carer’s Benefit or Domiciliary Care Allowance, you do not

need to apply for the Carer’s Support Grant. We will automatically pay you every June. If you

are not getting of any of these payments fill in the Carer’s Support Grant (CSG1) form for each

person you are caring for. You need a Personal Public Service Number (PPS Number) before

you apply.

How to complete this application form

• Please tear off this page and use as a guide to filling in this form.

• Use BLACK ballpoint pen, BLOCK LETTERS and place an X in relevant boxes.

• Please answer all questions that apply to you, this is Part 1 to Part 3.

• Sign the Declaration in Part 1.

• The person you are caring for should sign the Authorisation in Part 5.

• You should then get the doctor to complete the medical report.

• The doctor of the person receiving care from you must also sign Part 5.

If you need any help to complete this form, please contact Carer’s Support Grant Section on

(043) 334 0000, your local Intreo Centre, Social Welfare Office or any Citizen Information

Centre.

For more information, visit www.gov.ie/csg

Application form for

Carer’s Support Grant

CSG 1

Social Welfare Services

Data Classification R

Page 2

How to fill this form

To help us in processing your application:

• Print letters and numbers clearly.

• Use one box for each letter or number.

Please see example below.

1234567T

M U R P H Y

M A U R E E N

2 8 0 2 1 9 7 0

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

1. Your PPS Number:

3. Surname:

6. Your date of birth:

4. First names:

D D M M Y Y Y Y

Mr Mrs Ms Other

2. Title, insert an X or specify:

5. Your first name as it

appears on your birth

certificate:

8. Your telephone number:

9. Your email address:

Contact Details

7. Your address:

X

M A R Y

0881234567

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 A 6 5 F 4 E 2

Eircode

SAMPLE