Final_CCC PIP Primary Authorised User Approval Declaration

CHILDCARE FUNDING PROGRAMMES
Administered via the Programmes Implementation Platform (PIP), in conjunction with
Programmes Implementation Platform (PIP) Primary Authorised User Identification
Declaration Form
In order to ensure a secure online process for individuals/organisations to legally sign-up to
participation in the Department of Children &Youth Affairs Childcare Funding Programmes via the
PIP System, this City/County Childcare Committee (CCC), as an agent of DCYA, has undertaken an
identification exercise that verifies the identity of the individual named in this declaration as being
the rightful person authorised to agree/sign-up to legal commitments on behalf of the named
childcare organisation.
Individual’s name: ________________________Position: ________________________
Organisation name: ____________________ DCYA Ref (if many one will
suffice):_________________
In verifying the named individual as the PIP Primary Authorised User, the CCC confirms that:
Verification
This individual:
Tick
Type
where
Yes
A
Is already known to the CCC through numerous interactions and previous
participation in the DCYA Childcare Funding Programmes
or
B
Has presented themselves to the CCC and provided sight of photographic
identification that evidences they are the above named individual
At least one of the above must be selected by CCC
AND
C
The named individual has also been confirmed as the company director by
utilising the search function of the CRO website www.cro.ie
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(This verification check should be completed where CCC deems appropriate, in particular
where verification type B has been selected)
AND
D
The named individual has confirmed to the CCC that they have provided PIP
with a unique email address which is exclusive to them for the purposes of
undertaking their legal and finacial obligations on the PIP System
(If verification type A selected above, CCC to confirm by telephone or email where the
individual was not required by the CCC to present in their Office)
On behalf of the City/County Childcare Committee which is an agent of DCYA, I declare the above to
be true and accurate to the best of my knowledge:
City/County Childcare Committee: _____________________________
CCC Employee Name(block letters): ____________________________
CCC Employee Signature: ________________________Date:_________________
CCC Stamp:
*Completed and Signed Declaration must be scanned and uploaded to the PIP System by the CCC as part of
approving the named individual as the PIP Primary Authorised User.
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