P3000_RO - Country specific information - Romania
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)
*
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
4.1.1. Same household as the spouse or partner
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4.1.2. Please fill in the following if "Same household as the spouse or partner" = "Yes" :
4.1.2.1. Start date of living together
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4.2. Additional information on the insured person's employment and self-employment details
4.2.1. Last occupation in Romania
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4.2.2. Last place of employment in Romania
4.2.2.1. Last place of employment in Romania
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4.2.2.2. Town
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4.2.2.3. County
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4.2.3. The insured person declares that she gave birth and raised up to 10 years
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4.3. Additional information on the insured person's benefit details
4.3.1. Receiving a pension from Romania
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4.3.2. Please fill in the following if "Receiving a pension from Romania" = "Yes" :
4.3.2.1. Additional information on Romanian pension
4.3.2.1.1. Romanian pension file number
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4.3.2.1.2. County of the Romanian territorial house of pension that paid the pension
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4.3.3. Invalidity
4.3.3.1. Invalidity
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4.3.3.2. Establish period of disability
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4.3.3.3. Medical certificate in annex
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4.3.4. Handicap
4.3.4.1. Handicap
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4.3.4.2. Blind person
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4.3.4.3. Medical certificate in annex
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4.3.5. Fit for work declaration of the insured person
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4.4. Unable to provide the requested information in this section
4.4.1. Is the requested information available?
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4.4.2. Please fill in the following if the above is answered "No".
4.4.2.1. Reason
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5. Additional information for survivor's pension claim
5.1. Additional information on the claimant
5.1.1. Information on widow(er)
5.1.1.1. Widow/widower
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5.1.1.2. Married more than once
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5.1.1.3. Please fill in
5.1.1.3.1. If widow/widower has married more than once, please fill in the following
5.1.1.3.1.1. Date of marriage
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5.1.1.3.1.2. Marriage ended because of
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5.1.1.3.1.3. After the death of the insured person, the widow/widower remarried
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5.1.1.3.1.4. Has the person committed homicide or homicide attempt against the deceased insured person
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5.1.2. Has the person committed homicide or homicide attempt against the deceased insured person
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5.2. Additional information on the claimant's employment and self-employment details
5.2.1. Employment income
5.2.1.1. Amount
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5.2.1.2. Currency
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5.2.1.3. Amount effective since
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5.2.1.4. Payment frequency
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5.2.1.5. Please fill in the following if "Payment frequency" = "Other" :
5.2.1.5.1. Other payment frequency
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5.2.2. Retirement date
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5.3. Additional information on the claimant's benefit details
5.3.1. Receiving a pension from Romania
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5.3.2. Please fill in the following if "Receiving a pension from Romania" = "Yes" :
5.3.2.1. Invalidity
5.3.2.1.1. Invalidity
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5.3.2.1.2. Date of commencement of disability
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5.3.2.1.3. Establish period of disability
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5.3.2.1.4. Medical certificate in annex
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5.3.2.2. Handicap
5.3.2.2.1. Handicap
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5.3.2.2.2. Medical certificate in annex
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5.3.2.2.3. Fit for work declaration of the claimant
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5.3.2.2.4. The claimant is unfit for work
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5.4. Additional information on the deceased insured person's benefit details
5.4.1. End date of pension payment
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5.5. Additional information on the deceased insured person's employment details
5.5.1. Gainful employment at the time of death
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5.5.2. Occupational disease the only cause of death
5.5.2.1. Occupational disease the only cause of death
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5.5.2.2. Date of diagnosis
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5.5.2.3. Date of origin of the disease
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5.5.2.4. Link between the death and the occupational disease
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5.5.3. Last occupation in Romania
5.5.3.1. Last place of employment in Romania
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5.5.3.1.1. Last place of employment in Romania
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5.5.3.1.2. Town
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5.5.3.1.3. County
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5.6. Additional information on the children of the deceased insured person
5.6.1. Name of the child
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5.6.2. Child unable to work
5.6.2.1. Child unable to work
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5.6.2.2. Social security benefits received
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5.6.2.3. Nature of disability
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5.6.3. Both parents dead
5.6.3.1. Both parents dead
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5.6.3.2. Living parent an invalid
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5.6.4. Children under 26 still at school
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5.6.5. Child invalidity
5.6.5.1. Invalidity
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5.6.5.2. Date of commencement of disability
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5.6.5.3. Establish period of disability
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5.6.5.4. Medical certificate in annex
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5.7. Unable to provide the requested information in this section
5.7.1. Is the requested information available?
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5.7.2. Please fill in the following if the above is answered "No".
5.7.2.1. Reason
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6. Additional information for invalidity pension claim
6.1. Additional information on the insured person
6.1.1. Invalidity is the result of work accident or occupational disease
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6.1.2. Invalidity is the result of neoplasia, schizophrenia or AIDS
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6.1.3. Invalidity caused by other accident than work accident or by other reason than occupational disease, neoplasia, schizophrenia or AIDS
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6.1.4. The insured person is hospitalized in social assistance institutions or in specialized medical institutions, in which is ensured permanently observation and care
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6.1.5. Fit for work declaration of the insured person
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6.1.6. The insured person is unfit for work
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6.2. Additional information on the insured person's employment and self-employment details
6.2.1. Last occupation in Romania
6.2.1.1. Last occupation in Romania
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6.2.1.2. Last place of employment in Romania
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6.2.1.3. Town
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6.2.1.4. County
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6.3. Additional information on the insured person's benefit details
6.3.1. Invalidity
6.3.1.1. Invalidity
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6.3.1.2. Establish period of disability
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6.3.1.3. Claimant unfit for work
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6.3.1.4. Medical certificate in annex
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6.3.1.5. Additional information
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6.3.2. Handicap
6.3.2.1. Handicap
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6.3.2.2. Medical certificate in annex
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6.3.3. Receiving a pension from Romania
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6.3.4. Please fill in the following if "Receiving a pension from Romania" = "Yes" :
6.3.4.1. Additional information on Romanian pension
6.3.4.1.1. Romanian pension file number
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6.3.4.1.2. County of the Romanian territorial house of pension that paid the pension
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6.4. Unable to provide the requested information in this section
6.4.1. Is the requested information available?
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6.4.2. Please fill in the following if the above is answered "No".
6.4.2.1. Reason
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