P8000 - Request for additional information
Articles 47(1)(4) 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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2.2.3. Contact information on the person
2.2.3.1. Telephone Numbers
2.2.3.1.1. Telephone Number
2.2.3.1.1.1. Type
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2.2.3.1.1.2. Number
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2.2.3.2. Email Addresses
2.2.3.2.1. Email Address
2.2.3.2.1.1. Email Address
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3. Other person
3.1. Role of the person
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3.2. Person identification
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3.2.1. Family name(s)
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3.2.2. Forename(s)
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3.2.3. Date of birth
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3.2.4. Sex
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3.2.5. Family name(s) at birth
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3.2.6. Forename(s) at birth
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3.2.7. PIN of the person in each institution
3.2.7.1. Personal Identification Number(s)
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3.2.7.1.1. Country
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3.2.7.1.2. Personal Identification Number (PIN)
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3.2.7.1.3. Sector
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3.2.7.1.4. Institution
3.2.7.1.4.1. Institution ID
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3.2.7.1.4.2. Institution Name
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3.2.8. If PIN not provided for every institution, please provide
3.2.8.1. Place of birth
3.2.8.1.1. Town
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3.2.8.1.2. Region
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3.2.8.1.3. Country
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3.2.8.2. Father's family name at birth
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3.2.8.3. Forename of father
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3.2.8.4. Mother's family name at birth
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3.2.8.5. Forename of mother
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3.3. Additional information on the person
3.3.1. Additional information on the person
3.3.1.1. Nationality
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3.3.1.2. Previous family name(s)
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3.3.1.3. Previous forename(s)
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3.3.2. Address
3.3.2.1. Street
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3.3.2.2. Building Name
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3.3.2.3. Town
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3.3.2.4. Postal Code
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3.3.2.5. Region
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3.3.2.6. Country
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3.3.3. Contact information on the person
3.3.3.1. Telephone Numbers
3.3.3.1.1. Telephone Number
3.3.3.1.1.1. Type
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3.3.3.1.1.2. Number
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3.3.3.2. Email Addresses
3.3.3.2.1. Email Address
3.3.3.2.1.1. Email Address
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4. Relationship of the Dependant / Family Member or child to the insured person
4.1. Relationship to the insured person
4.1.1. Relationship to the insured person
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4.2. Please fill in the following if "Relationship to the insured person" = "Other relative" :
4.2.1. Description of other relative
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5. Reference to the person
5.1. This request is made with reference to the person named in
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6. Request for document(s)
6.1. Please provide us with following documents:
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6.2. Please fill in the following if "Please provide us with following documents:" = "Other documents" :
6.2.1. Additional information on document(s)
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6.3. Reason for the request
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7. Request for SED(s)
7.1. Request for SED(s)
7.1.1. Please provide us with following SEDs:
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7.1.2. Please fill in the following if "Please provide us with following SEDs:" = "Other SED(s)" :
7.1.2.1. Other requested SED(s)
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7.1.2.2. Reason for the request
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8. Request for information
8.1. General information
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8.2. Information on person's benefit(s)
8.2.1. Please inform us if the person is/was claiming; is/was receiving; is/was rejected for the following benefit(s)
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8.2.2. Please fill in the following if "Please inform us if the person is/was claiming; is/was receiving; is/was rejected for the following benefit(s)" = "Other benefits"
8.2.2.1. Other benefit(s)
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8.2.3. Please send us information on
8.2.3.1. Please send us information on
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8.2.3.2. Please fill in the following if "Please send us information on" = "Other information on benefit(s)" :
8.2.3.2.1. Other information on benefit(s)
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8.3. Information on person's activity
8.3.1. Please inform us about the person's activity as
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8.3.2. Please inform
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8.4. Person's income
8.4.1. Please inform us about the person's income
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8.4.2. Please state income effective since
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8.5. Other requested information
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8.6. Reason for the request
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9. Request for confirmation of information
9.1. Please confirm the following information
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9.2. Reason for the request
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10. Request for person's statement
10.1. Please provide the following statement of the person
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10.2. Reason for the request
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11. Additional information
11.1. Additional information
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