1. Claimant Details

2. Contractor Details

3. Site Details

4. Materials

5. Double Taxation Agreement

For the purpose of determining Permanent Establishment under the terms of the Ireland/ Double Taxation Agreement, Please confirm if you have in the Republic of Ireland:

6. Subcontractor Details

7. Employees

8. Irish VAT

9. Tax Registration Cancellation

I declare that to the best of my knowledge all the information given in this form is correct.