P3000_HR - Country specific information - Croatia
Articles 45(4), 46(1), 47(4-5) of Regulation (EC) No 987/2009
SED API version: 0.15.3 build preview 1
Model version: 4.1.0
1. Local case numbers
1.1. Local Case Number
1.1.1. Country
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1.1.2. Case number
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1.1.3. Institution
1.1.3.1. Institution ID
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1.1.3.2. Institution Name
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2. Insured person
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2.1. Person identification
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2.1.1. Family name(s)
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2.1.2. Forename(s)
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2.1.3. Date of birth
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2.1.4. Sex
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2.1.5. Family name(s) at birth
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2.1.6. Forename(s) at birth
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2.1.7. PIN of the person in each institution
2.1.7.1. Personal Identification Number(s)
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2.1.7.1.1. Country
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2.1.7.1.2. Personal Identification Number (PIN)
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2.1.7.1.3. Sector
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2.1.7.1.4. Institution
2.1.7.1.4.1. Institution ID
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2.1.7.1.4.2. Institution Name
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2.1.8. If PIN not provided for every institution, please provide
2.1.8.1. Place of birth
2.1.8.1.1. Town
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2.1.8.1.2. Region
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2.1.8.1.3. Country
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2.1.8.2. Father's family name at birth
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2.1.8.3. Forename of father
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2.1.8.4. Mother's family name at birth
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2.1.8.5. Forename of mother
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2.2. Additional information on the person
2.2.1. Additional information on the person
2.2.1.1. Nationality
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2.2.1.2. Previous family name(s)
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2.2.1.3. Previous forename(s)
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2.2.2. Address
2.2.2.1. Street
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2.2.2.2. Building Name
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2.2.2.3. Town
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2.2.2.4. Postal Code
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2.2.2.5. Region
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2.2.2.6. Country
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3. Claimant (survivor's pension)
3.1. Person identification
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3.1.1. Family name(s)
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3.1.2. Forename(s)
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3.1.3. Date of birth
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3.1.4. Sex
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3.1.5. Family name(s) at birth
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3.1.6. Forename(s) at birth
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3.1.7. PIN of the person in each institution
3.1.7.1. Personal Identification Number(s)
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3.1.7.1.1. Country
*
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3.1.7.1.2. Personal Identification Number (PIN)
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3.1.7.1.3. Sector
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3.1.7.1.4. Institution
3.1.7.1.4.1. Institution ID
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3.1.7.1.4.2. Institution Name
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3.1.8. If PIN not provided for every institution, please provide
3.1.8.1. Place of birth
3.1.8.1.1. Town
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3.1.8.1.2. Region
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3.1.8.1.3. Country
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3.1.8.2. Father's family name at birth
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3.1.8.3. Forename of father
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3.1.8.4. Mother's family name at birth
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3.1.8.5. Forename of mother
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3.2. Additional information on the person
3.2.1. Additional information on the person
3.2.1.1. Nationality
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3.2.1.2. Previous family name(s)
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3.2.1.3. Previous forename(s)
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3.2.2. Address
3.2.2.1. Street
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3.2.2.2. Building Name
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3.2.2.3. Town
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3.2.2.4. Postal Code
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3.2.2.5. Region
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3.2.2.6. Country
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4. Additional information for old age pension claim
4.1. Additional information on the insured person's completed periods of insurance
4.1.1. Insured person is Croatian Homeland War Veteran and/or is political prisoner (Please attach document for proof if available)
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4.1.2. Please fill in the following if "Insured person is Croatian Homeland War Veteran and/or is political prisoner (Please attach document for proof if available)" = "Yes" :
4.1.2.1. Period
4.1.2.1.1. Start date
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4.1.2.1.2. End date
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4.2. Unable to provide the requested information in this section
4.2.1. Is the requested information available?
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4.2.2. Please fill in the following if the above is answered "No".
4.2.2.1. Reason
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5. Additional information for survivor's pension claim
5.1. Additional information on the deceased person
5.1.1. The deceased person was the recipient of pension at the time of death
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5.1.2. Please fill in the following if "The deceased person was the recipient of pension at the time of death" = "Yes" :
5.1.2.1. Deceased person was Croatian Homeland War Veteran and/or was political prisoner (Please attach document for proof if available)
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5.1.3. Please fill in the following if "Deceased person was Croatian Homeland War Veteran and/or was political prisoner (Please attach document for proof if available)" = "Yes" :
5.1.3.1. Period
5.1.3.1.1. Start Date
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5.1.3.1.2. End Date
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5.1.4. Deceased insured person was entitled to invalidity benefit (Please attach document for proof if available)
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5.1.5. Please fill in the following if "Deceased insured person was entitled to invalidity benefit (Please attach document for proof if available)" = "Yes" :
5.1.5.1. Information on invalidity benefit
5.1.5.1.1. Country Code
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5.1.5.1.2. Name of the benefit
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5.1.5.1.3. Type of the benefit
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5.1.5.1.4. Period
5.1.5.1.4.1. Start Date
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5.1.5.1.4.2. End Date
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5.1.6. Deceased insured person was registered as a person seeking work with the competent employment service (Please attach document for proof if available)
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5.1.7. Please fill in the following if "Deceased insured person was registered as a person seeking work with the competent employment service (Please attach document for proof if available)" = "Yes" :
5.1.7.1. Information on seeking work
5.1.7.1.1. Country code
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5.1.7.1.2. Period
Fixed period
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Open period
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5.1.7.1.2.1.1. Start date
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5.1.7.1.2.1.2. End date
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5.1.7.1.2.2.1. Type of Open Period
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5.1.7.1.2.2.2. Start date
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5.1.8. Deceased insured person has passed voluntary or statutory military service (Please attach document for proof if available)
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5.1.9. Please fill in the following if "Deceased insured person has passed voluntary or statutory military service (Please attach document for proof if available)" = "Yes" :
5.1.9.1. Information on military service
5.1.9.1.1. Country code
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5.1.9.1.2. Period
5.1.9.1.2.1. Start Date
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5.1.9.1.2.2. End Date
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5.1.10. Type of education (Please attach document for proof if available)
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5.2. Additional information on the claimant
5.2.1. Fit for work declaration of the claimant
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5.2.2. The claimant is a divorced spouse
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5.2.3. Please fill in the following if "The claimant is a divorced spouse" = "Yes" :
5.2.3.1. Entitlement to Support Allowance was determined by the competent institution (Please attach document for proof if available)
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5.2.4. Please fill in the following if "Entitlement to Support Allowance was determined by the competent institution (Please attach document for proof if available)" = "Yes" :
5.2.4.1. Information on Support Allowance
5.2.4.1.1. Institution
5.2.4.1.1.1. Country
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5.2.4.1.1.2. Personal Identification Number (PIN)
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5.2.4.1.1.3. Sector
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5.2.4.1.1.4. Institution
5.2.4.1.1.4.1. Institution ID
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5.2.4.1.1.4.2. Institution Name
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5.2.4.1.2. Support Allowance Period
Fixed period
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Open period
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5.2.4.1.2.1.1. Start date
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5.2.4.1.2.1.2. End date
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5.2.4.1.2.2.1. Type of Open Period
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5.2.4.1.2.2.2. Start date
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5.2.5. The claimant is a parent
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5.2.6. Please fill in the following if "The claimant is a parent" = "Yes" :
5.2.6.1. Prior to his/her death, the deceased person supported his/her parent (Please attach document for proof if available)
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5.2.7. The child age is between 15 and 18 years
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5.2.8. Please fill in the following if "The child age is between 15 and 18 years" = "Yes" :
5.2.8.1. Child is in full-time education
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5.2.9. Please fill in the following if "Child is in full-time education" = "Yes" :
5.2.9.1. Type of education (Please attach document for proof if available)
*
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5.2.10. Please fill in the following if "Child is in full-time education" = "No" :
5.2.10.1. Child is registered as a person seeking work with the competent employment service (Please attach document for proof if available)
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5.2.11. Please fill in the following if "Child is registered as a person seeking work with the competent employment service (Please attach document for proof if available)" = "Yes" :
5.2.11.1. Information on seeking work
5.2.11.1.1. Country code
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5.2.11.1.2. Period
Fixed period
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Open period
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5.2.11.1.2.1.1. Start date
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5.2.11.1.2.1.2. End date
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5.2.11.1.2.2.1. Type of Open Period
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5.2.11.1.2.2.2. Start date
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5.3. Additional information on the children of the deceased insured person
5.3.1. Additional information on the children of the deceased insured person
5.3.1.1. Family name(s)
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5.3.1.2. Forename(s)
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5.3.1.3. Family Status
5.3.1.3.1. Family Status
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5.3.1.3.2. Family status date
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5.3.2. Information about the other parent
5.3.2.1. Family name(s)
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5.3.2.2. Forename(s)
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5.3.2.3. Birth date
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5.3.2.4. Death date
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5.4. Unable to provide the requested information in this section
5.4.1. Is the requested information available?
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5.4.2. Please fill in the following if the above is answered "No".
5.4.2.1. Reason
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6. Additional information for invalidity pension claim
6.1. Additional information on the insured person
6.1.1. Insured person is registered as a person seeking work with the competent employment service (Please attach document for proof if available)
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6.1.2. Please fill in the following if "Insured person is registered as a person seeking work with the competent employment service (Please attach document for proof if available)" = "Yes" :
6.1.2.1. Information on seeking work
6.1.2.1.1. Country code
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6.1.2.1.2. Period
Fixed period
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Open period
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6.1.2.1.2.1.1. Start date
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6.1.2.1.2.1.2. End date
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6.1.2.1.2.2.1. Type of Open Period
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6.1.2.1.2.2.2. Start date
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6.1.3. Insured person has passed voluntary or statutory military service (Please attach document for proof if available)
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6.1.4. Please fill in the following if "Insured person has passed voluntary or statutory military service (Please attach document for proof if available)" = "Yes" :
6.1.4.1. Information on military service
6.1.4.1.1. Country code
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6.1.4.1.2. Period
6.1.4.1.2.1. Start Date
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6.1.4.1.2.2. End Date
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6.2. Additional information on the insured person's completed period of insurance
6.2.1. Insured person is Croatian Homeland War Veteran and/or is political prisoner (Please attach document for proof if available)
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6.2.2. Please fill in the following if "Insured person is Croatian Homeland War Veteran and/or is political prisoner (Please attach document for proof if available)" = "Yes" :
6.2.2.1. Period
6.2.2.1.1. Start Date
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6.2.2.1.2. End Date
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6.3. Unable to provide the requested information in this section
6.3.1. Is the requested information available?
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6.3.2. Please fill in the following if the above is answered "No".
6.3.2.1. Reason
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