Rebates Republic - Additional Details Portal

Additional Details Form

Personal Details Section

First Name

Last Name

Email Address

Phone Number

PPS Number

Date of Birth

Current Living Situation

Select Which Living Station Best Describes Your Curent Living Situation

Do you recieve Housing Assistance Payment (HAP) or Rent Supplements from the goverment?
Yes
No

Rent Paid in 2024 (Full Years Rent/ Estimate of Full Years Rent)

Rent Paid in 2023 (Full Years Rent)

Rent Paid in 2022 (Full Years Rent)

Name of Landlord/Landlord Agency

Start Date of Tenancy

End Date of Tenancy/Expected End Date

Rental Property Address

If you lived at a additional rental property during 2022-2024

Write the year, address and landlord name here (otherwise please leave blank)

Do you pay a mortgage on the house you own?
Yes
No

Employment Status

Write Your Occupation

Do You Work From Home? (Fulltime or Part-time Basis)

Family & You

Do you have children under the age of 18?

Do You Financially Support Any Elderly/Incapititatied Dependent Relatives?

(Important! This does not include children, dependent relatives can live here or abroad)

Third Level College Fees

Do You Pay any third level college fees for yourself or a child

Write Your Signature

Terms and Conditions

By ticking the box, I have read and agree to the authorisation and the Terms & Conditions and I give my explicit consent for claims to be made on my behalf for any applicable tax years.

Click Here To Read The Terms and Conditions

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Additional Details Portal

Gathering Additional Information To Maximise Your Tax Rebate

Additional Details Form

Personal Details Section

Current Living Situation

Employment Status

Health

Nursing Home/ Carers Fees

Family & You

Third Level College Fees

Accomadation Details

Terms and Conditions

Your Form Successfully Submitted!