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Trusted Partner New Applicatin This frm shuld be used by Persns wh will make an ffer f emplyment, Emplyers, Cnnected Persns r EEA Cntractrs wh wish t apply fr Trusted Partner status fr the purpses f future Emplyment Permit applicatins. Befre cmpleting this frm, please read the relevant infrmatin which is available n ur website. Cmplete ALL parts f this frm as required in BLOCK CAPITALS. The Persn wh will make the ffer f emplyment, the Emplyer, the Cnnected Persn r the EEA Cntractr and the agent (if applicable), must sign the declaratins at the end f the frm. Incmplete frms will be returned. Part One Registratin Details f the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr 1. Emplyer Registered Number: Obtained frm the Revenue Cmmissiners 2. Cmpany Name Registered Number (if applicable): 3. Business Name Registered Number (if applicable): 4. If the Persn wh has made the ffer f emplyment / Emplyer / Cnnected Persn is a Charity, please supply the Charity Number: 5. If the Persn wh will made the ffer f emplyment / Emplyer/ Cnnected Persn / EEA Cntractr is an Industrial and Prvident Sciety, a Friendly Sciety r a Trade Unin, please supply their Registratin Number: Obtained frm the Cmpanies Registratin Office Obtained frm the Cmpanies Registratin Office Obtained frm the Revenue Cmmissiners Obtained frm the Registry f Friendly Scieties If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn is nt a Limited Cmpany, please cmplete Questins 6, 7, 8 and 9. If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr is a Limited Cmpany, please prceed t Questin 10. Applicatins by EEA Cntractrs, please prceed t Questin 10. 6. If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn is nt a registered cmpany, please indicate what type f entity it is: Sle Trader Partnership 7. Please state the full name f the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn: Other (please specify): 8. Please state the natinality f the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn: 9. If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn is nt an EEA citizen, d they hld apprpriate permissin t perate a business in the State? Yes N Nt Applicable If Yes, please specify: If yes, yu must enclse cpies f supprting dcumentatin frm the Minister fr Justice and Equality cnfirming yur permissin t perate a business in the State r yur applicatin will be returned (see Requirements fr Supprting Dcumentatin). Page 1

10. Registered name f Cmpany/Business: 11. Trading name f business (if different): 12. Nature f business: 13. Cmpany/Business : 14. Telephne Number: Address 1: Address 2: Twn: Cunty: Cuntry: 15. Fax: 16. Mbile Phne Number: 17. E-mail: 18. Website: 19. Number f EEA* and/r Swiss natinals 20. Number f nn-eea natinals (including Irish) currently emplyed by the Persn currently emplyed by the Persn wh wh will make the ffer f will make the ffer f emplyment/emplyer/cnnected emplyment/emplyer/cnnected Persn/EEA Cntractr: Persn/EEA Cntractr: * The EEA cmprises the Member States f the Eurpean Unin tgether with Iceland, Nrway and Liechtenstein 21. Please prvide details f a persn, within the cmpany wh is authrised t deal with any queries arising frm this applicatin and future applicatins fr Emplyment Permits (persn must be emplyed within the cmpany, agent details t be prvided elsewhere): Title: Mr Mrs Miss Ms Other (please state) Name (in BLOCK CAPITALS): Psitin Held in cmpany: Telephne Number: Mbile Phne Number: E-mail: 22. Please prvide details f the directrs and secretary f the cmpany in the space prvided belw: Directr s Name Address Page 2

Directr s Name Address Directr s Name Address Directr s Name Address Secretary s Name Address 23. If the cmpany, r business wner, has ther business lcatins in Ireland perating under the Emplyer s Registered Number detailed abve, please detail each in the space prvided belw: Business Name Business Address Business Name Business Address Business Name Business Address Page 3

Business Name Business Address Yu must nw attach the dcuments utlined in Requirement fr Supprting Dcumentatin under (A) Requirements fr Persn wh will make the ffer f emplyment/emplyer/cnnected Persn / EEA Cntractr Part Tw Details f Cnnectins between the Cnnected Persn and Freign Emplyers In rder t be eligible fr an Intra-Cmpany Transfer Emplyment Permit there must be a cnnectin, as defined in the Emplyment Permits Act 2006, as amended, between the Cnnected Persn and the Freign Emplyer. The eligible cnnectins are defined as fllws: (a) the cnnected persn must be a subsidiary f the freign emplyer, r (b) the freign emplyer must be a subsidiary f the cnnected persn, r (c) the cnnected persn and the freign emplyer must bth be subsidiaries f a hlding cmpany that carries n business in the State r utside the State, r (d) the cnnected persn and the freign emplyer must have entered int an agreement with anther persn whereby each f them agree t carry n business r prvide services with each ther in mre than ne state and t carry n business r prvide services in the manner prvided fr in the agreement. The term subsidiary abve has the meaning assigned t it by sectin 155 f the Cmpanies Act 1963. 1. Fr the purpses f future Intra-Cmpany Transfer Emplyment Permit applicatins please prvide details f relevant cnnectins belw: Cmpany/Business Name Nature f the link: Cmpany/Business Name Nature f the link: Cmpany/Business Name Page 4

Nature f the link: Cmpany/Business Name Nature f the link: Cmpany/Business Name Nature f the link: Cmpany/Business Name Nature f the link: Cmpany/Business Name Nature f the link: Cmpany/Business Name Nature f the link: Page 5

Cmpany/Business Name Nature f the link: Yu must nw attach the dcuments utlined in Requirement fr Supprting Dcumentatin under (B) Requirements fr Cnnected Persn Part Three Details f Cntract Service Agreements between the EEA Cntractr and Relevant Persns In rder t be eligible fr a Cntract fr Services Emplyment Permit there must be a cntract service agreement in place with an Irish entity (Relevant Persn). 1. Fr the purpses f future Cntract fr Services Emplyment Permit applicatins please prvide details f relevant cntract service agreements belw: Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Descriptin f Cntract Service Agreement: Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Page 6

Descriptin f Cntract Service Agreement: Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Descriptin f Cntract Service Agreement: Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Descriptin f Cntract Service Agreement: Page 7

Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Descriptin f Cntract Service Agreement: Name f Relevant Persn Address f Relevant Persn (Irish Entity): (Place at which the emplyment cncerned, in respect f the Cntract Service Agreement, is t be carried ut) Start Date f Cntract: D D M M Y Y End Date f Cntract: D D M M Y Y Descriptin f Cntract Service Agreement: Yu must nw attach the dcuments utlined in Requirement fr Supprting Dcumentatin under (C) Requirements fr EEA Cntractr Page 8

Part Fur Declaratin f Persn wh will make the ffer f emplyment / Emplyer / Cnnected Persn / EEA Cntractr Acceptance f Terms & Cnditins I, insert Cmpany/Business name, hereby apply t the Department f Jbs, Enterprise and Innvatin t becme a Trusted Partner fr the purpses f applying fr Emplyment Permits. I declare that all f the particulars and infrmatin given in this applicatin frm are true and accurate and relate t my cmpany/business. I understand the imprtance f being a Trusted Partner f the Department f Jbs, Enterprise and Innvatin and accept that if I d nt cmply fully with the declaratins declared belw, that the status f Trusted Partner will be remved. I understand that, in accrdance with Sectin 25 f the Emplyment Permits Act 2006 as amended, a persn wh furnishes t the Minister, n an applicatin under sectin 4 r 20 f the Emplyment Permits Act 2006 as amended, infrmatin that is false r misleading in a material respect knwing that it is s false r misleading r being reckless as t whether it is s false r misleading is guilty f an ffence. I, hereby slemnly declare that the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr: has nt been cnvicted f an ffence under the Emplyment Permits Acts, the Immigratin Act 2004 r any f the Emplyment Rights Legislatin specified in Schedule 1 f the Emplyment Permits Act 2006 as amended in the last 5 years; will be fully cmpliant with Emplyment Permits Legislatin; will bestw the full benefit f all the relevant Irish Emplyment Rights Legislatin t all emplyees emplyed in the State, carrying ut duties r prviding a service in the State, including thse wh hld an Emplyment Permit, as required; will abide by the terms and cnditins f the Prtectin f Yung Persns (Emplyment) Act, 1996 in respect f all emplyees emplyed in the State, carrying ut duties r prviding a service in the State and being under the age f 18, including thse wh hld an emplyment permit; will undertake t ntify the Department f Jbs, Enterprise and Innvatin immediately f any changes which may ccur t the cmpany/business, including changes t the structure, during the perid f registratin; will undertake t ntify the Department f Jbs, Enterprise and Innvatin if any changes t the terms and cnditins f an Emplyment Permit hlder s emplyment ccur, including remuneratin; and if granted Trusted Partner status, will undertake t keep the Trusted Partner Unique Identifier Registratin Number granted t me secure at all times and take all reasnable steps t ensure n fraudulent use f it ccurs. I, further slemnly declare that in any future applicatins fr emplyment permits the Persn wh has made the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr: will take such reasnable steps t satisfy themselves that: the qualificatins, skills and experience attained by the freign natinal wh is the subject f the emplyment permit applicatin are true and that they crrespnd with and are relevant t the psitin n ffer; the freign natinal wh is the subject f the emplyment permit applicatins is a fully accredited member f the relevant prfessinal bdy fr the psitin n ffer (if applicable); will ensure that a jb ffer has been made t the freign natinal wh is the subject f an emplyment permit applicatin within 90 days f the date f that emplyment permit applicatin; will ensure that infrmatin prvided n an emplyment permit applicatin in respect f emplyees made redundant frm the specific emplyment within the last 6 mnths is true and accurate; will ensure that the hlders f Emplyment Permits will be paid, at a minimum, the annual remuneratin stated n the Emplyment Permit; where I am the Persn wh has made the ffer f emplyment/emplyer in respect f emplyment permit applicatins,: will guarantee that the apprpriate deductins under the PAYE system will be made frm all payments (including benefits-in-kind) made t all emplyees, including emplyment permit hlders, and that all such deductins will be paid t the Revenue Cmmissiners; where the applicatin is in respect f a Critical Skills Emplyment Permit that a jb ffer f 2 years, r mre, has been made t the freign natinal wh is the subject f the emplyment permit applicatin; the freign natinal wh is the subject f the emplyment permit applicatin will be emplyed, salaried and paid under an emplyment cntract gverned by the laws f the State by me; if the applicatin is in respect f an emplyment as a Carer in a private hme and an emplyment permit is granted, I will have n bjectin t an Inspectr frm the Natinal Emplyment Rights Authrity (NERA) visiting the premises where emplyment is being carried ut and t speak t me and the emplyee shuld the need arise. where I am the Cnnected Persn and the applicatin is in respect f an Intra-Cmpany Transfer Emplyment Permit: the freign natinal wh is the subject f the emplyment permit applicatin has been emplyed by the Freign Emplyer named n the emplyment permit applicatin fr a minimum perid f six mnths; the Freign Natinal wh is the subject f the emplyment permit applicatin will cntinue t be emplyed, salaried and paid under an emplyment cntract utside the State by the Freign Emplyer named n the emplyment permit applicatin; the Freign Natinal wh is the subject f the emplyment permit applicatin will be perfrming duties r underging training in the State that arise ut f the Intra-Cmpany Transfer arrangement between the Freign Emplyer named n the emplyment permit applicatin and me and I understand that the Freign Natinal will be returning t his/her emplyment utside the State with the Freign Emplyer after the cmpletin f the duties r training with me; in cases where I am assuming respnsibility fr the prvisin f bard and accmmdatin (r either f Page 9

them) and health insurance in respect f the Freign Natinal that: apprpriate bard and accmmdatin (r either f them) will be prvided fr the Freign Natinal while he r she is in the State t carry ut duties fr, r participate in a training prgramme prvided by me, apprpriate Health Insurance will be prvided in respect f the Freign Natinal shuld he r she require medical treatment fr illness r injury during the perid fr which he r she will be in the State pursuant t the emplyment permit; and where a persn utside the State prvides insurance fr medical treatment in respect f the Freign Natinal, the health insurance has the same, r similar, effect as the health insurance prvided by a health insurer entered in the Register f Health Benefits Undertakings referred t in sectin 14 f the Health Insurance Act 1994; where I am the EEA Cntractr and the applicatin is in respect f a Cntract fr Services Emplyment Permit: the Freign Natinal the subject f the emplyment permit applicatin has been emplyed by me fr a minimum f six mnths prir t the applicatin; where the freign salary, currently paid t the Freign Natinal wh is the subject f the emplyment permit applicatin, des nt meet the Irish Natinal Minimum Wage hurly rate f pay r an hurly rate f pay fixed under r pursuant t any ther enactment that applies t the emplyment cncerned, I undertake t make an additinal payment t achieve at least the Natinal Minimum Wage hurly rate r the hurly rate fixed under r pursuant t any ther enactment and that this amunt will appear n the freign natinal s payslip fr the duratin f their assignment in the State; the Freign Natinal the subject f the emplyment permit applicatin will cntinue t be emplyed, salaried and paid under an emplyment cntract utside the State by me, the EEA Cntractr, as stated in Part 1 f this applicatin frm; the Freign Natinal the subject f the emplyment permit applicatin will be fully tax cmpliant in the State fr the duratin f the Freign Natinal s stay in Ireland; apprpriate bard and accmmdatin (r either f them) will be prvided fr the Freign Natinal while he r she is in the State t carry ut the duties as part f the cntract service agreement, apprpriate Health Insurance will be prvided in respect f the Freign Natinal shuld he r she require medical treatment fr illness r injury during the perid fr which he r she will be in the State pursuant t the emplyment permit; and where the insurance fr medical treatment in respect f the Freign Natinal is prvided by a health insurance prvider utside the State, the health insurance has the same, r similar, effect as the health insurance prvided by a health insurer entered in the Register f Health Benefits Undertakings referred t in sectin 14 f the Health Insurance Act 1994; the Freign Natinal will be returning t my verseas place f emplyment after the cmpletin f the duties as part f the cntract service agreement. I understand and accept that: in accrdance with Sectin 23 f the Emplyment Permits Act 2006, as amended, I may nt make any deductins frm the remuneratin f, r seek t recver frm, the hlder f any emplyment permit any charge, fee r expense arising ut f r cncerning ne r mre f the fllwing: the applicatin fr the emplyment permit r the renewal f the permit r any matter relating t r cncerning such an applicatin r the grant r renewal f the permit; the recruitment f the hlder fr the emplyment in respect f which the applicatin was made, if applicable; r any amunt previusly paid t the hlder in respect f travelling expenses incurred by the hlder in cnnectin with taking up the emplyment in the State, if applicable; in accrdance with Sectin 24 (1) f the Emplyment Permits Act 2006, as amended, shuld the emplyment in the State f any emplyment permit hlders cease, the permits and any cpies theref will be returned immediately t the Department f Jbs, Enterprise and Innvatin; neither I, nr a persn acting n the cmpany s/business behalf, shall keep any persnal dcument belnging t a hlder f an emplyment permit. Signature f Persn wh will make the ffer f emplyment / Emplyer / Cnnected Persn / EEA Cntractr: (Original signature required*) Name (in BLOCK CAPITALS): Date: D D M M Y Y *Fr limited cmpanies the signature must be that f the Cmpany Secretary. Fr an Irish branch f a freign cmpany the signature must be that f a Persn f Prcess r Persn f Cmpliance. Fr Sle Traders, Partnerships, etc. the signature must be that f ne f the business wners. Applicatins frm recruitment agencies, agents, intermediaries r cmpanies wh intend t utsurce r subcntract the emplyee t wrk in anther cmpany will nt be accepted. Page 10

Nminatin f Agent If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr des nt wish t nminate an agent then this sectin can be left blank. If yu (the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr) wish a third party (agent) t act n yur behalf in future emplyment permit applicatins please ensure the fllwing details are cmpleted. Agent Name (in BLOCK CAPITALS): Agent s Signature: (Original signature required) Date: D D M M Y Y Agent s Address fr Crrespndence: Address 1: Address 2: Twn: Cunty: Cuntry: E-mail address: Telephne number: I, the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr, have instructed the abve named agent f the terms and cnditins it must cmply with n my behalf and I permit the agent t act n my behalf in respect f future Emplyment Permit applicatins. Signature f Persn wh will make the ffer f emplyment / Emplyer / Cnnected Persn / EEA Cntractr: (Original signature required*) Date: D D M M Y Y *Fr limited cmpanies the signature must be that f the Cmpany Secretary. Fr an Irish branch f a freign cmpany the signature must be that f a Persn f Prcess r Persn f Cmpliance. Fr Sle Traders, Partnerships, etc. the signature must be that f ne f the business wners. Page 11

Requirements fr Supprting Dcumentatin (A) Requirements fr Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr All applicants MUST submit clear cpies f the fllwing dcumentatin: Cpy f P30 returned t the Revenue Cmmissiners within the 3 mnths preceding this applicatin r a receipt fr such return whether issued thrugh ROS (Revenue Online Service) r therwise, r If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr is a start-up Cmpany r a Persn wh wuld nt yet have made returns t the Revenue Cmmissiners in respect f emplyees, a cpy f an fficial letter frm Revenue cnfirming registratin as an emplyer, date f registratin and the ERN (Emplyers Registered Number). A cpy f an fficial letter frm the Revenue Cmmissiners cnfirming charitable status f the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn, if requesting a waiver f the fee fr future emplyment permit applicatins n the basis f yur charitable status. Business Permissin If the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn has indicated that they are a freign natinal perating a business in the State, they are required t submit cpies f dcumentary evidence frm the Minister fr Justice and Equality clearly demnstrating their status within the State and their entitlement t perate a business in the State. If the Persn wh will make the ffer f emplyment, Emplyer r the Cnnected Persn is perating a business f a restaurant, r a fast fd utlet If the applicatin is in respect f a Persn wh will make an ffer f emplyment, Emplyer r a Cnnected Persn wh is perating a restaurant r a fast fd utlet the fllwing additinal infrmatin is required: if the establishment has been perating fr ne year r mre, a cpy f a P35L frm returned by the Persn wh has made the ffer f emplyment, Emplyer r Cnnected Persn t the Revenue Cmmissiners, an up-t-date tax clearance certificate in respect f the Persn wh has made the ffer f emplyment, Emplyer r Cnnected Persn, cpies f utility bills fr the establishment s premises dated within the perid f 2 mnths prir t the applicatin, and a letter frm the relevant Lcal Health Authrity cnfirming that the Persn wh has made the ffer f emplyment, Emplyer, Cnnected Persn has been granted permissin t perate a restaurant at the premises. Additinal dcumentatin The Minister may request such ther infrmatin as might materially assist in making a decisin n an applicatin. (B) Requirements fr Cnnected Persn All Cnnected Persns MUST submit the fllwing dcumentatin: Evidence f the cnnectins between the Cnnected Persn and the listed Freign Emplyers. (C) Requirements fr EEA Cntractr All EEA Cntractrs MUST submit the fllwing dcumentatin: Evidence f the cntract service agreement(s) between the EEA Cntractr and the listed Relevant Persns. (D) Declaratin Data Sharing and Data Prtectin The Emplyment Permits Sectin may undertake verificatin f all data submitted n this applicatin frm. The Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr is advised that in signing this applicatin frm they cnsent t allw the Emplyment Permits Sectin t share and request data as necessary, fr the sle purpse f verifying the infrmatin submitted, between relevant Gvernment Departments and Agencies. The signatries t this applicatin may find further infrmatin cncerning data sharing and the bligatins f Data Cntrllers n the Data Prtectin Cmmissiner s website at www.dataprtectin.ie. Alternatively, they may call: (057) 868 4800 / L-Call Number: 1890 252231. Please nte that all successful applicants fr Trusted Partner Registratin may be applicable t an inspectin by the Natinal Emplyment Rights Authrity (NERA) during their perid f registratin. Relevant dcuments will have t be prvided as part f this inspectin. Under Sectin 16 (d) f the Emplyment Permits Act 2006, as amended, the Minister may revke an emplyment permit if, in the pinin f the Minister, any infrmatin prvided in respect f the applicatin fr it was false r misleading in a material respect. In accrdance with Sectin 25 f the Emplyment Permits Act 2006, as amended a persn wh furnishes t the Minister, n an applicatin under sectin 4 r 20, infrmatin that is false r misleading in a material respect knwing that it is s false r misleading r being reckless as t whether it is s false r misleading is guilty f an ffence. Furthermre, in accrdance with Sectin 32 (1) f the Emplyment Permits Act 2006, as amended, a persn guilty f an ffence under sectin 18(2), 19(3), 23(4) r 25 is liable (a) n summary cnvictin, t a fine nt exceeding 5,000 r imprisnment fr a term nt exceeding 12 mnths r bth, r (b) n cnvictin n indictment, t a fine nt exceeding 50,000 r imprisnment fr a term nt exceeding 5 years r bth. Please nte: With effect frm 2003, the names f all emplyers wh emply emplyment permit hlders, as well as the number f permits issued t that emplyer, are made publicly available n the Department s website. Page 12

Applicatin Frm Checklist Please ensure that the applicatin frm is cmpleted crrectly. The fllwing checklist shuld be used t ensure that all required infrmatin/dcumentatin is prvided. Incmplete applicatin frms will be returned. Part One Persn wh will make the ffer f emplyment/emplyer/cnnected Persn/EEA Cntractr Details: Cmplete all questins Persns wh will make the ffer f emplyment/emplyers/cnnected Persns/EEA Cntractrs shuld include cpies f: Cmpleted P30/ROS Online. Letter frm Revenue Cmmissiners cnfirming registratin as an emplyer. A cpy f an fficial letter frm the Revenue Cmmissiners cnfirming charitable status f the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn, if applicable. Cpies f dcumentary evidence frm the Minister fr Justice and Equality clearly demnstrating their status within the State and their entitlement t perate a business in the State, if the Persn wh will make the ffer f emplyment/emplyer/cnnected Persn is a nn-eea natinal perating a business in the State. Cpies f the fllwing dcumentatin if the applicatin is in respect f a Persn wh will make an ffer f emplyment, Emplyer r a Cnnected Persn wh is perating a restaurant r a fast fd utlet: if the establishment has been perating fr ne year r mre, a cpy f a P35L frm returned by the Persn wh has made the ffer f emplyment, Emplyer r Cnnected Persn t the Revenue Cmmissiners, an up-t-date tax clearance certificate in respect f the Persn wh has made the ffer f emplyment, Emplyer r Cnnected Persn, cpies f utility bills fr the establishment s premises dated within the perid f 2 mnths prir t the applicatin, cpies f any certified qualificatins f the Freign Natinal in respect f whm the applicatin is made, and a letter frm the relevant Lcal Health Authrity cnfirming that the Persn wh has made the ffer f emplyment, Emplyer r Cnnected Persn has been granted permissin t perate a restaurant at the premises. Part Tw Details f Cnnectins between the Cnnected Persn and Freign Emplyers Cnnected Persns shuld include cpies f: Evidence f the cnnectins between the Cnnected Persn and the listed Freign Emplyers. Part Three Details f Cntract Service Agreements between the EEA Cntractr and Relevant Persns EEA Cntractrs shuld include cpies f: Evidence f the cntract service agreements between the EEA Cntractr and the listed Relevant Persns. Part Fur Acceptance f Terms & Cnditins: Sign and date the apprpriate declaratins - riginal signatures required EMPLOYMENT PERMITS SECTION Cntact Details E-mail: emplymentpermits@djei.ie Call Centre: 353-1- 417 5333 LCall: 1890 201 616 (frm within Ireland nly) Fax: 353-1-631 3268 Address: Davitt Huse 65a Adelaide Rad Dublin 2 Ireland Emplyment Permits Sectin Web pages Infrmatin and applicatin frms may be dwnladed frm the Emplyment Permits Sectin web pages n the Department f Jbs, Enterprise and Innvatin s website. Page 13