ESB Retired Staff > ESB Information

Forms

Medical Forms
Claim on ESB Dental Benefit Scheme
Claim on ESB Optical Benefit Scheme

European Health Insurance Card Application Form (pdf 45Kb)
VDU Eye Test Request Form

Education Awards

ESB is offering five third level education awards to those children of staff who are starting full-time degree or diploma studies in the 2011/12 college year. Selection is by an open draw, which takes place on October 28th.

Completed forms should be sent before Friday 14th. October 2011, to Carmel Hosey, Human Resources, ESB Kilcruttin Business Park, Tullamore, Co Offaly.

2011 Education Awards (pdf 30Kb)

2011 Education Bursary

The purpose of this initiative is to help children who have a qualifying disability and do not meet the eligibility requirements of the separate ESB Education Awards Scheme due to CAO / HETAC points or grade requirements.

Completed forms should be sent before Friday 14th. October 2011 to Carmel Hosey, Human Resources, ESB Kilcruttin Business Park, Tullamore, Co Offaly.

2011 Education Bursary.pdf (pdf 15Kb)

Charities Forms

Electric Aid Funding Application Form (pdf 33Kb)

Electric Aid Membership Form (pdf 12Kb)

ElectricAid Once-Off Donation Form (pdf 29Kb)

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