Personal Reader Grant Application Form: Section 2

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

Amended: 20/11/18 (Final version)

REASONABLE ACCOMMODATION FUND

FOR THE EMPLOYMENT OF PEOPLE WITH A DISABILITY

Section 2 - Grant Application

Personal Reader Grant Scheme

Application Details

Name of Reader: _______________________________________________________________

Address: _______________________________________________________________

______________________________________________________________

PPS No: _____________________________________

Telephone: _____________________________________

Email: _______________________________________________________________

Signature: _____________________________________ Date: ___________________

Please explain why a Personal Reader Grant is required:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Applicant’s Signature: ___________________________________ Date: _____/______/_____

Note:

A completed Personal Reader Grant CLAIM FORM must accompany all monthly claims for

Personal Reader Grant payment. This form can be downloaded from the DSP website or

requested from your local Intreo Centre or Case Officer.

Data Protection Statement