Jobseeker's Benefit for the Self-Employed Application Form (UP1 JBSE)

• Published date: 05 July 2021
• Issuer: Department of Social Protection

Application form for

Jobseeker’s Benefit (Self-Employed)

Data Classification R

Social Welfare Services

UP1 JBSE

What is Jobseeker’s Benet Self-Employed?

Jobseeker’s Benefit Self-Employed (JBSE) provides income support to self-employed people who have

fully ceased self-employment and have paid Pay Related Social Insurance (PRSI) self-employment

contributions at Class S.

You may also qualify for increases for your spouse, civil partner, partner, cohabitant, or children.

How do I qualify for Jobseeker’s Benet Self-Employed?

You may be eligible for this scheme if you:

• are between 18 and 66 years of age;

• have fully ceased self-employment activity;

• are genuinely seeking work and are available for full-time work;

• are capable of work; and

• satisfy certain PRSI contribution conditions. You must have paid at least:

• 156 PRSI self-employment contributions at Class S; or

• 104 PRSI employment contributions at Class A or H; and

• 52 PRSI self-employment contributions at Class S in the governing contribution year.

Note: The governing contribution year is the second last complete tax year. For example, for a claim made

in 2024 the second last complete tax year is 2022.

How can I get help and further information?

Help in completing this form is available from your local Intreo Centre, Social Welfare Branch Oce or

any Citizens Information Centre. When completed, send this completed form to your local Intreo Centre or

Social Welfare Branch Oce. The name and address of your local Intreo Centre or Social Welfare Branch

Oce can be found by visiting www.gov.ie/intreocentres.

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

How long will the Jobseeker’s Benet Self-Employed last?

Jobseekers Benet (Self-Employed) is paid for six or nine months.

• 6 months - if you have paid less than 260 PRSI contributions at Class S.

• 9 months - if you have paid 260 or more PRSI contributions at Class S.

Jobseeker’s Benet Self-Employed and Flexible State Pension for those between 66 and 70 Years

The State Pension (Contributory) has become more exible and you will be able to claim your pension at any age

between 66 and 70.

If you choose to claim your pension at a later date than age 66, it will give you the opportunity to continue to work

to make PRSI contributions, which may increase your personal rate of payment or help you to meet the qualifying

contribution conditions for the State Pension (Contributory).

After the age of 66, you must apply for Jobseeker’s Benet (Self-Employed) using a paper application only.

Jobseeker’s Allowance and credited contributions are not available past the age of 66.

To help us process this form please write letters and numbers clearly and use one box for

each. See examples below.

How to fill in this form

Details of you and your spouse, civil

partner or cohabitant

Part 1

If you do not wish to claim for a spouse, civil partner or cohabitant you do not need to fill in their

details or complete Part 6 of this form.

1. PPS Number:

Spouse, Civil Partner or Cohabitant

Applicant

12345678T 87654321X

Surname:

First names:

Birth surname:

Mothers birth surname:

Date of birth:

M A R Y

N O R T O N

M C D ER M O T T

DELANEY

1 0 0 5 1 9 7 0

D D M M Y Y Y Y

1 N EW

S T R E E T

O L D T O W N

D O N EG A L

DONEG A L

T 4 2 H 6 8 C

I R I S H

DEN T I S T

0881234567

M M U R P H Y @

WEL F A R E. I E

Eircode

County

Address:

If you and your

spouse, civil partner

or cohabitant are not

living together give both

addresses.

Nationality:

Telephone number:

Email address:

Occupation:

D A V I D

N O R T O N

N O R T O N

BRADY

2 3 1 1 1 9 7 5

D D M M Y Y Y Y

1 5 G R E E N

AVEN U E

M A I N R O A D

C A R L O W

C A R L O W

C 2 7 U 8 3 M

CANAD I AN

SAMPLE