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Before filling in the application form, please take a little time to read this section. When we deal with an application for the Carer’s Support Grant, we may have to assess the position of two people (the carer and the person being cared for). We must examine the medical condition of the person being cared for to establish if they need full-time care and attention. We must also be satisfied that you, the carer, are providing full-time care and attention and are in a position to do so. This means that the application form must ask you for a lot of detailed information. The application form is divided into the following parts: Parts 1 and 2 must be completed by you. Part 1 deals with your personal details. Note on questions 16 and 17 – If you work(ed) or attend(ed) an educational or training course outside the home for 15 hours or less a week, the declaration in question 20 must be completed, signed and stamped by either your employer or the training authority. Part 3 deals with the details of the person you are caring for. If you care for more than one person, please also complete an additional version of the CSG 1 form and attach it to the application form. Part 4 is the checklist you should refer to before applying. Part 5 deals with the medical certification for the person being cared for. Section A must be signed by the person who is receiving care. If the person being cared for cannot complete this form, you should fill it in for them and have it signed by a witness. Section B must be completed by the doctor of the person you are caring for.
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Sula líonfaidh tú isteach an fhoirm iarratais, caith beagán ama chun an chuid seo a léamh le do thoil. Nuair a bhímid ag déileáil le hiarratas ar Dheontas Cúram Faoisimh, seans go mbeidh orainn measúná a dhéanamh ar chás beirte (an cúramóir agus an duine a dtugtar cúram dó/di). Caithfimid scrúdú a dhéanamh ar chás leighis an duine a mbíonn cúram á chur ar fáil dó/di, le beartú an mbíonn cúram agus aire lánaimseartha de dhíth air/uirthi. Is gá dúinn a bheith sásta chomh maith go mbíonn tusa, an cúramóir, ag soláthar cúram agus aire lánaimseartha agus go bhfuil tú in ann a leithéid a dhéanamh. Ciallaíonn sé seo go gcaithfear go leor eolas mionsonraithe a lorg uait ar an bhfoirm iarratais. Tá an fhoirm iarratais roinnte sna codanna seo a leanas: Is gá duitse Codanna 1 agus 2 a chomhlánú. Baineann Cuid 1 le do shonraí pearsanta. Nóta ar cheist 18 - Má tá tú nó má bhí tú féinfhostaithe taobh amuigh den bhaile le 18 mí anuas, is gá an dearbhú faoi cheist 18 a chomhlánú agus is gá do do chuntasóir síniú agus stampa a chur air. Nóta ar cheisteanna 19 agus 20 - Má d'oibrighú nó má fhreastail tú ar chúrsa oideachais nó oiliúna taobh amuigh den bhaile ar feadh 15 huaire nó níos lú in aghaidh na seachtaine, is gá an dearbhú i gceist 20 a chomhlánú, a shíniú agus stampa a bheith curtha air ag d'fhostóir nó ag an údarás oiliúna. Baineann Cuid 2 le sonraí an duine a mbíonn tú ag soláthar cúraim dó/di. Má thugann tú aire do bhreis is duine amháin, comhlánaigh foirm RCG 1(a) chomh maith agus ceangail den fhoirm iarratais í, le do thoil. Is é Cuid 3 an seicliosta ar chóir duit féachaint air sula seolfaidh tú iarratas isteach. Baineann Cuid 4 le deimhniú dochtúra don duine a soláthraítear cúram dó/di. Is gá do Chuid A a bheith sínithe ag an duine a soláthraítear cúram dó/di. Murar féidir leis an duine a mbíonn an cúram á sholáthar dó/di an fhoirm seo a chomhlánú, ba cheart duit í a chomhlánú dó/di agus bíodh síniú finné agat uirthi chomh maith. Is gá do Chuid B a bheith comhlánaithe ag dochtúir an duine a sholáthraíonn tú cúram dó/di.