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Supplementary Allowance - Head of Household





For the period between 5th January 2019 and 3rd January 2020

Details of Household

Head of Household


Spouse / Partner

The details requested are those of the other person forming part of this family unit


Contact Details


If Separated, kindly attach Separation Decree / Contract

Separation Decree / Contract (Head of Household):   
Separation Decree / Contract (Spouse):   

Details of all persons living with the applicant

1 This information is not necessary if applicant is a pensioner or is receiving Social Assistance. Total income should include all income earned from any type of work, interests, dividends, rents, ground rents, field rents, pensions or other benefits (except Medical Assistance). Any other maintenance or income not mentioned above and coming from local or foreign resources should also be included.







Income Declaration - 2017

Head of Household Income (€)


Spouse / Partner Income (€)


Fill in details below if during the current year you experienced

Commencement / Termination of Employment (Head of Household)


Commencement / Termination of Employment (Spouse / Partner)


A period of more than three (3) months residing abroad (Head of Household)


A period of more than three (3) months residing abroad (Spouse / Partner)


Separation / Marriage / Divorce / Civil Union


Bank Account Details

Copy of Garnishee Order if you have blocked Bank Accounts:   
If you have a bank garnishee order, payment will be effected by cheque. If you do not have a bank garnishee order, fill in the below bank details.

Allowance should be deposited in a Savings or Current Account, but not in a Loan Account. The indicated account has to be in the name of the beneficiary.


Other Information

Documentation Required
  1. If applicant is employed, the FS3 duly signed by employer, is required. If applicant and/or spouse have/has more than one employment, an FS3 for each employment be it full-time or part-time, is required.
  2. If applicant is a self-employed, a ‘Profit and Loss Account’ should be presented. In the case of directors / company’s majority shareholders, the ‘Final Audited Accounts’ are required. Copies of contribution receipts are also to be presented with the above documentation.
  3. If applicant is availing himself/herself of unpaid or parental leave, if he/she has been separated or if he/she resided abroad for a period of more than three (3) months, documentation showing such circumstances should be presented.
  4. Financial documents showing the income of other members of the applicant’s family if the latter was not receiving a pension or social assistance.

Necessary Documents

Income Declaration - 2017
Head of Household (Attach Respective Documents)

Full-Time FS3 / Profit and Loss Accounts / Audited Final Accounts / Memorandum and Articles:   
Part-Time FS3 / Profit and Loss Accounts:   
Rents, Ground Rents, Field Rents:   
Privileges or similar income including any kind of annuity or alimony:   
Other income not mentioned above (Do not include interest from local banks) and Last pensions slip (not applicable if in receipt of a Social Security Pension, a Treasury Pension or a Service Pension):   

Income Declaration - 2017
Spouse / Partner (Attach Respective Documents)

Full-Time FS3 / Profit and Loss Accounts / Audited Final Accounts / Memorandum and Articles:   
Part-Time FS3 / Profit and Loss Accounts:   
Rents, Ground Rents, Field Rents:   
Privileges or similar income including any kind of annuity or alimony:   
Other income not mentioned above (Do not include interest from local banks) and Last pensions slip (not applicable if in receipt of a Social Security Pension, a Treasury Pension or a Service Pension):   

Declaration

Signed Declaration Form:*   

To receive a copy of the application, type your email address below


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 Contact 
      Department of Social Security
      38, Ordnance Street
      Valletta VLT 1021
 
 Contact Numbers
      Freephone 153


      International Calls
      +356 21255153*
      * This is not a freephone number
 
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