Application For Registration As A Self-Employed Person (S1) Page 2

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Do you have any business partners?
Can you engage employees at your own expense if
required?
Yes
No
Yes
No
If you have business partners they must also register as
Do you risk your own money?
individuals for Social Insurance and Income Tax
Yes
No
Business partner’s full name and address
Do you provide the main items of equipment you need for
your job, not just the small tools many employees provide for
themselves?
Yes
No
Do you agree to do a job for a fixed price regardless of how
If you have more than one partner please write their names and
long the job may take?
addresses on a separate sheet of paper and send it to us with
Yes
No
this form.
If you are employing someone to work for
Are you willing to offer your services to anyone who
you
approaches you?
If you are employing, or thinking of employing someone to work
Yes
No
for you, you also need to register your business for PAYE
purposes. Please contact PAYE section in writing or call
telephone No. 20074924 for further information.
Social Insurance option for self- employed
Employed or Self-Employed
women
Generally, you are –
Under the Social Security (Insurance) Act a self-employed
Self-employed if you are in business on your own account and
woman may apply for maternity allowance with effect from 24
bear the responsibility for the success or failure of that business,
July 2014. If you want to opt to pay the “additional voluntary
and
contribution” to be able to claim this allowance, please tick
Employed if you are a director of the company from which you
this box
are receiving income or if you work under the control of someone
Note: If you opt to pay the “additional voluntary contribution”
and do not run the risks of having a business yourself.
you must maintain the payment of this contribution during the
In order to ascertain whether or not you classify as a self-
whole of your self-employed working life.
employed person you need to answer the following questions:
Documentation Required
Do you work a set amount of hours?
Yes
No
Please supply a copy of the following documents when
handing in this application:
What hours do you work and who decides these hours?
Business Name Registration (if applicable)
Are you paid by the hour, week or month?
Passport or Identity Card
Trade Licence (if required)
Can you get overtime pay or bonus payment?
Yes
No
Declaration
Can someone tell you at any time what to do, where to carry out
the work and when or how to do it?
I declare that to the best of my knowledge and
Yes
No
belief the particulars given on this form are correct
and complete.
Does anyone have the right to select, suspend or dismiss you
Signed:_______________________
from your business?
Date:_________________________
Yes
No
Once the Ministry of Employment approves your registration,
Please allow at least 5 working days for this office to consider this
the Income Tax Office will send you via mail a pack
application. Unless you hear from us within this period, you are
containing all necessary documents.
then required to register at the Ministry of Employment.
FOR OFFICIAL USE ONLY
Reason for none approval__________________________
Taxpayer Ref.___________________________
Officer’s Signature___________________________________
Social Insurance Code________________
Date_______________________
Application approved
Yes/No

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