If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Use form Ireland-Individual to apply for relief at source from UK Income Tax and to claim repayment of UK Income Tax under the terms of the UK/Ireland Double Taxation convention. This form applies to residents of Ireland receiving pensions, purchased annuities, interest or royalties arising in the UK.