Employer Details
Employer Name:
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Job & Work Details
Job Title:
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Duties and Responsibilities:
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Position:
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Place of Work
Confirm place of work:
Address Line 1:
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Address Line 2:
Address Line 3:
City:
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County:
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Select county from dropdown list Antrim Armagh Carlow Cavan Clare Cork Derry Donegal Down Dublin Fermanagh Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Tyrone Waterford Westmeath Wexford Wicklow
Eircode/Postcode:
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Country:
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Select country from drop-down list Ireland United Kingdom Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Confirm the address(es) of other work locations (if known):
Working Outside the State
Nature of work outside the State:
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Place of work outside the State:
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Commencement of work outside the State:
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Period of Employment outside the State:
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Probation
Confirm the length of probation period (Cannot be more than 6 months);
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Contract Type
Contract Types Explained:
A Permanent Contract is issued where no end date is specified.
A Fixed Term Contract is issued where a person is employed for a limited but definite period of time.
A Specific Purpose Contract is issued where a person is being employed on a specific project or replacing someone who is absent.
A Temporary Contract is issued where a person is being employed for a limited period of time.
A Casual Contract is issued where there are no fixed hours of work.
Contract Type:
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Select contract type from drop-down list Permanent Contract Fixed Term Contract Specific Purpose Contract Temporary Contract Casual Contract
Confirm the expected end-date of Fixed Term Contract:
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Confirm the Specific Purpose for this contract (e.g Maternity Leave/Sick Leave Cover ):
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Confirm the expected end date of Specific Purpose Contract:
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Confirm the expected end-date of Temporary Contract:
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Working Schedule
Working Schedule:
Select from drop-down list Normal Hours Shift Work Hours Casual Hours
Confirm the first day of a working week:
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Select from drop-down list Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Confirm normal hours per week (including breaks):
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Confirm details of exceptions to normal shift hours:
Enter details of shift work hours:
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Enter details of casual work hours:
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Hybrid Working
Hybrid working is a form of flexible working where workers spend some of their time working remotely.
Confirm details of Hybrid Working arrangements (if known):
Rest Breaks
Will rest breaks be paid or unpaid?
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Select from drop-down list Paid Unpaid
Confirm total daily rest breaks (minutes):
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Confirm any additional rest break details:
Annual Leave
Statutory Annual Leave Entitlements:
Employess are entitled to 4 working weeks in a leave year (where the employee works at least 1,365 hours)
Confirm details of additional paid annual leave for this position:
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Pay Details
Confirm how often the wages/salary will be paid?
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Select from drop-down list Weekly Fortnightly 4-weekly Monthly Bi-monthly Quarterly 6-monthly Annually
Confirm payment method:
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Select payment method Cash Cheque Bank Transfer
When will payments be made? (e.g. confirm weekday / monthly date / last day of month)
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Confirm details of overtime rates & arrangements:
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Confirm the Sunday Premium details:
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Additional Pay Details
Enter details of bonus payments:
Enter details of commission payments:
Enter details of shift premium:
From 1 December 2022, the Payment of Wages (Amendment) (Tips and Gratuities) Act 2022, introduced new rules as to how employers have to share tips, gratuities and service charges amongst employees.
Additional Employee Benefits
Please enter details of ‘Other Benefits’:
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Pensions & PRSA
Please confirm the Pension Scheme provider:
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Please confirm the Pension Broker:
Please confirm when an employee becomes eligible to join the Company Pension Scheme?
Please confirm the PRSA Provider:
Please confirm details of additional paid sick leave:
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Sick Leave & Absence Reporting Arrangements
How soon before normal start time should a employee report sick leave or absence?
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Who will the employee be required to report to?
Confirm Name:
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Confirm Position:
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Confirm the mandatory retirement age:
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Employers setting a mandatory retirement age must also confirm the reasons for doing so.
Termination and Notice Required:
Confirm the amount of notice required from the employee when they terminate their employment:
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Payment in Lieu of Notice:
It is recommended that employers include a clause in their contract allowing for the payment in-lieu of notice, in the event of an immediate termination situation.
Garda Clearance
Submitter Details:
Your First Name:
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Your Surname:
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Your Position:
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Email Address:
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If you are human, leave this field blank.