Authority to appoint an agent Application Form

Search gov.ie

Authority to appoint an agent Application Form

These forms are used to appoint someone to act as an agent to pick up your social welfare payments.

Application form: Nomination of a Type 1 Agent (other than HSE)
January 2026
View the file View
Application form: Nomination of a Type 2 Agent (other than HSE)
January 2026
View the file View

To find out which form you should use, you can find more information on Type 1 Agent and Type 2 Agent here.

Part of

Services

Policies

This form is only for feedback relating to the current page.

Do not include personal or financial information.

The information you submit will be analysed to improve gov.ie and will not be responded to individually.

How was your experience on the current page? (required)

You have 400 characters remaining