Employee Refund of PRSI contributions Application Form (PRSI REF1)

• Published date: 23 March 2021
• Issuer: Department of Social Protection

Page 1

Application form for Employee

Refund of PRSI contributions

PRSI REF 1

Social Welfare Services

Data Classification R

How to complete this application form

• You can only apply for one type of refund per form. Incomplete forms will be

returned and this will delay your application.

You may be entitled to a PRSI refund if: Please complete

• You are over 66 and have paid PRSI on your wages Parts 1 and 2

• You are under 16 and have paid PRSI on your wages Parts 1 and 2

• You are Self-employed (Company Director/ Sole

Trader/ Partnership) who paid class A contributions Parts 1 and 2

• You are a Civil Servant who paid Class A instead of

B/C/D Parts 1 and 2

• You paid maintenance to a spouse / civil partner Parts 1, 2 and 3

• You are a holder of an E101/A1/Certificate of

Coverage/Exemption Certificate *See Part 5 checklist Parts 1, 2 and 5

• You have no Contract of Service Parts 1 and 2

• You worked in a Subsidiary Employment - A

permanent civil/public servant recruited before 6 April

1995 who paid full PRSI in another employment

Parts 1 and 2

• You were in receipt of:

– Maternity Benefit,

– Adoptive Benefit,

– Paternity Benefit,

– Parent’s Benefit,

– Illness Benefit,

– Occupational Injuries Benefit, or

– Health and Safety Benefit

Parts 1, 2 and 4

Your employer

should complete

Question 15.

• When the form is completed, read Part 5 and sign the declaration in Part 1.

If you need any help to complete this form, please contact your local Citizens Information

Centre, your local Intreo Centre or your local Social Welfare Office.

For more information please visit www.gov.ie

What is a PRSI Refund?

A Pay Related Social Insurance (PRSI) refund can be applied for where the wrong PRSI rate has

been paid from your wages or income.

Applications can be made for the last four complete tax years.

Who can apply for a PRSI Refund?

How will I be paid?

Any refund due will be paid into your bank account by Electronic Fund Transfer (EFT).