P4000 - Report on insurance history
Articles 12(1), 46(1), 47(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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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. Information on the insured person's insurance history
4.1. Employment and self-employment Periods
4.1.1. Employment and self-employment
4.1.1.1. Type of period
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4.1.1.2. Period
Fixed period
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Open period
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4.1.1.2.1.1. Start date
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4.1.1.2.1.2. End date
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4.1.1.2.2.1. Type of Open Period
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4.1.1.2.2.2. Start date
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4.1.1.3. Uncertain dates
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4.1.1.4. Occupation during employment or self-employment
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4.1.1.5. Insurance or registration number
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4.1.1.6. Name of the Employer/Company
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4.1.1.7. Address of the Employer/Company
4.1.1.7.1. Street
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4.1.1.7.2. Building Name
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4.1.1.7.3. Town
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4.1.1.7.4. Postal Code
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4.1.1.7.5. Region
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4.1.1.7.6. Country
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4.1.1.8. Additional information concerning the period
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4.2. Residence Periods
4.2.1. Residence
4.2.1.1. Period
Fixed period
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Open period
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4.2.1.1.1.1. Start date
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4.2.1.1.1.2. End date
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4.2.1.1.2.1. Type of Open Period
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4.2.1.1.2.2. Start date
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4.2.1.2. Uncertain dates
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4.2.1.3. Country
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4.2.1.4. Additional information concerning the period
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4.3. Child-raising Periods
4.3.1. Child-raising
4.3.1.1. Period
Fixed period
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Open period
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4.3.1.1.1.1. Start date
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4.3.1.1.1.2. End date
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4.3.1.1.2.1. Type of Open Period
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4.3.1.1.2.2. Start date
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4.3.1.2. Uncertain dates
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4.3.1.3. Information on the child
4.3.1.3.1. Family name(s)
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4.3.1.3.2. Forename(s)
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4.3.1.3.3. Date of birth
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4.3.1.3.4. Country
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4.3.1.4. Additional information concerning the period
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4.4. Voluntary Insurance Periods
4.4.1. Voluntary insurance
4.4.1.1. Period
Fixed period
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Open period
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4.4.1.1.1.1. Start date
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4.4.1.1.1.2. End date
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4.4.1.1.2.1. Type of Open Period
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4.4.1.1.2.2. Start date
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4.4.1.2. Uncertain dates
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4.4.1.3. Country
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4.4.1.4. Additional information concerning the period
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4.5. Military Service Periods
4.5.1. Military service
4.5.1.1. Period
Fixed period
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Open period
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4.5.1.1.1.1. Start date
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4.5.1.1.1.2. End date
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4.5.1.1.2.1. Type of Open Period
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4.5.1.1.2.2. Start date
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4.5.1.2. Uncertain dates
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4.5.1.3. Country
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4.5.1.4. Additional information concerning the period
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4.6. Maternity Periods
4.6.1. Maternity
4.6.1.1. Period
Fixed period
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Open period
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4.6.1.1.1.1. Start date
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4.6.1.1.1.2. End date
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4.6.1.1.2.1. Type of Open Period
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4.6.1.1.2.2. Start date
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4.6.1.2. Uncertain dates
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4.6.1.3. Country
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4.6.1.4. Additional information concerning the period
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4.7. Training Periods
4.7.1. Training
4.7.1.1. Period
Fixed period
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Open period
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4.7.1.1.1.1. Start date
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4.7.1.1.1.2. End date
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4.7.1.1.2.1. Type of Open Period
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4.7.1.1.2.2. Start date
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4.7.1.2. Uncertain dates
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4.7.1.3. Name of the training institution
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4.7.1.4. Country
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4.7.1.5. Additional information concerning the period
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4.8. Unemployment Benefits Periods
4.8.1. Unemployment Benefits
4.8.1.1. Period
Fixed period
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Open period
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4.8.1.1.1.1. Start date
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4.8.1.1.1.2. End date
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4.8.1.1.2.1. Type of Open Period
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4.8.1.1.2.2. Start date
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4.8.1.2. Uncertain dates
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4.8.1.3. Name of the paying institution
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4.8.1.4. Country
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4.8.1.5. Additional information concerning the period
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4.9. Sickness Benefits Periods
4.9.1. Sickness Benefit
4.9.1.1. Period
Fixed period
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Open period
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4.9.1.1.1.1. Start date
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4.9.1.1.1.2. End date
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4.9.1.1.2.1. Type of Open Period
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4.9.1.1.2.2. Start date
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4.9.1.2. Uncertain dates
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4.9.1.3. Name of the paying institution
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4.9.1.4. Country
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4.9.1.5. Additional information concerning the period
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4.10. Other Types of Insurance Periods
4.10.1. Other type of insurance periods
4.10.1.1. Period
Fixed period
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Open period
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4.10.1.1.1.1. Start date
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4.10.1.1.1.2. End date
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4.10.1.1.2.1. Type of Open Period
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4.10.1.1.2.2. Start date
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4.10.1.2. Uncertain dates
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4.10.1.3. Type of period
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4.10.1.4. Country
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4.10.1.5. Additional information concerning the period
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