Home Tuition - Change of address form for tutors

CHANGE OF ADDRESS FORM FOR HOME TUTORS

The completed form should be submitted to:

Home Tuition Payments Section, Schools Division Financial, Department of Education,

Cornamaddy, Athlone, Co. Westmeath, N37 X 659

For completion by Home Tutors on the Department’s Non-Teaching Staff (NTS) Payroll.

Name: ___________________________________ PPSN: _______________________________________

Contact Number: _________________________ School Roll No: (if applicable) ____________________

If you are, or were previously, in receipt of a salary or pension through a payroll operated by the Department of

Education, please tick the appropriate box below.

Primary Teachers Payroll SectionNon- Teaching Staff Payroll

SectionPost Primary Teachers Payroll Section

are as follows:

Retired StaffMy new address details

Name:

Address:

County:

Eircode:

Declaration:

I hereby declare that the above new address is my current residence and that all details furnished in this form

are true and correct. I undertake to inform the Department of any changes to this address.

Tutor’s Signature: _________________________________________ Date: _______________________________

Data Protection Privacy Statement

The Department of Education, as far as practicable and having regard to the resources available, provides for education

and training for people resident in the State at a level appropriate to meet the needs and abilities of those people. The

main purpose for which the Department requires the personal data provided by you is to process the payment of this grant

and the accounting and auditing of public monies. The personal data provided may be exchanged with the Office of the

Revenue Commissioners. The privacy notice outlining further information in relation to this form can be found at

https://www.gov.ie/en/organisation-information/data-protection/. Full details of the Department's data protection

policy setting out how we will use personal data as well as information regarding your rights as a data subject are

available at https://www.gov.ie/en/organisation-information/data-protection/ . Details of this policy and privacy notice

are also available in hard copy from the address above upon request.