Job Interview Interpreter Grant Application Form: Section 2

• Published date: 10 May 2021
• Issuer: Department of Social Protection

Amended: 19/11/18 (Final Version)

REASONABLE ACCOMMODATION FUND

FOR THE EMPLOYMENT OF PEOPLE WITH A DISABILITY

Section 2 - Grant Application

Job Interview Interpreter Grant Scheme

Application details

Name of Interpreter: ___________________________________________ PPS No: _______________________________

Address: ___________________________________________________________________________________________

Communication needs: Sign Interpreter Lip-speaker

Other Specify ____________________________________

Date(s) of interview/induction: ______/______/______ to _____/_____/_____

Verification of Job Interview/Induction:

Company name: ______________________________________________________

Address: _______________________________________________________

________________________________________________________________________

Signed: _______________________________________ Date: _____/_____/_____

Name & position in company: ______________________________________________

Interpreter costs:

Total fee: €_____________________ Total Travel Costs: €______________________

Details of travel: From: ________________________ To: _______________________

Mode of transport: _______________________________________________________

Current Tax Clearance Cert (TCC) No (please attach a copy) or electronic Tax

Clearance Access No (TCAN): ______________________________________________

Signed: ________________________________________ Date: _____/_____/_____

Interpreter

To receive payment, please attach a completed original EFT Bank Mandate (unless you have previously supplied

one) and an invoice. The details on both (VAT No, address, etc.) should match.

FOR DSP USE ONLY

Approved by:

Case Officer: _______________________________________________________________ Date: ______/______/______

Approved for Payment by:

Assistant Principal: _________________________________________________________ Date: ______/______/______

Authorised for Payment by:

Accounts Payable: ___________________________________________ Grade: ________ Date: ______/______/______

Note: Completed form should be forwarded to your local DSP INTREO Centre.

Company/Employer Stamp

Interpreter Stamp