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12a certificate download 2026
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- Click ‘Get Form’ to open the 12a certificate in the editor.
- Begin by filling out your Personal Details. Use BLOCK LETTERS for clarity. Enter your First Name, Surname, Date of Birth, and PPS Number.
- Provide your Address and Nationality. If applicable, include your Birth Surname and Mother’s Birth Surname.
- Indicate your Civil Status by inserting 'T' in the relevant box. Specify if you or your spouse/civil partner holds a full medical card.
- In the Residence Details section, state any time spent outside the State in the last 24 months, including dates of departure and return.
- Complete Employment or Pension Details by entering your Employer’s PAYE Registered No., name, address, and occupation. Indicate if this is your first job in Ireland.
- Fill out the Income section detailing any payments received from the Dept. of Social Protection along with other income sources.
- Claim tax credits by marking 'T' in the appropriate boxes for credits you are entitled to.
- Finally, review all information for accuracy before signing and dating the declaration at the end of the form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4 Satisfied (21 Votes) |
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what is 12a certificate
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