Jobseeker's Holiday Request Form (UP30)

• Published date: 07 May 2021
• Issuer: Department of Social Protection

An Roinn

Gnóthaí Fostaíochta agus Coimirce Sóisialaí

Department of

Employment Affairs and Social Protection

UP 30 7/20

Ionad Intreo/Oifig Brainse Intreo Centre/Branch Office

Guthán: Telephone:

________________20_______

PPS No:

Please quote this number if enquiring about your claim

Dear ________________________

If you are claiming Jobseeker’s Benefit or Jobseeker’s Allowance you are allowed two weeks paid

holidays in each calendar year (twelve days not including Sundays).

You are also allowed to represent Ireland as an amateur athlete at international sporting events. This is in

addition to your two weeks paid holidays. You must fill out this form before you go on holidays.

Please Complete This Section

I will be going away for the following period:

From: Day Mth Yr To: Day Mth Yr

To: (Please state destination)

Reason (Please tick the relevant box) Holiday International Sporting Event *

*If you are attending an International Sporting Event please provide a letter from the National Governing Body (NGB)

of the sport confirming the event you will be representing Ireland in and your dates of attendance.

Signed Date

For Office Use Only

Claim Category: JA JB Credits

Approved Yes No

If yes, please state the number of paid days approved

If no, please state reason:

Signed Date

Deciding Officer