In addition to Form SSA-2490-BK, an applicant for Irish benefits must complete one or more special Irish application forms. The form(s) to be completed vary depending on the type of benefit claimed.

The special Irish application forms are not taken in the field offices (FO's). After receiving a claim for Irish benefits that was filed with SSA, the Irish agency will mail the appropriate Irish application forms to the applicant. The Irish agency will include instructions asking the claimant to complete the forms and mail them directly to the Irish agency with any additional evidence that may be needed.

If an applicant brings one of the Irish application forms to the FO, the FO should:

1. 1. 

   Provide any necessary assistance in completing the form(s).

2. 2. 

   Photocopy and certify any documents (evidence) the Irish agency has requested the applicant to include with the Irish claim.

3. 3. 

   Return the form(s) and certified photocopies to the applicant and advise him or her to mail them directly to the Irish agency that sent them.

4. 4. 

   Advise the applicant to check with the U.S. Postal Service for the international rate and/or fee for mailing materials to Ireland.

Reminder: Don’t mail the Irish application forms to OIO.