Document on Export

U008 - Document on Export
Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) 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 *

1.1.2. Case number *

1.1.3. Institution

1.1.3.1. Institution ID *

1.1.3.2. Institution Name *

1.1.Local Case Number

2. Person *

2.1. Person identification *

2.1.1. Family name(s) *

2.1.2. Forename(s) *

2.1.3. Date of birth *

2.1.4. Sex *

2.1.5. Family name(s) at birth

2.1.6. Forename(s) at birth

2.1.7. PIN of the person in each institution

2.1.7.1. Personal Identification Number(s) *

2.1.7.1.1. Country *

2.1.7.1.2. Personal Identification Number (PIN) *

2.1.7.1.3. Sector

2.1.7.1.4. Institution

2.1.7.1.4.1. Institution ID *

2.1.7.1.4.2. Institution Name *

2.1.7.1.Personal Identification Number(s)

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 *

2.1.8.1.2. Region

2.1.8.1.3. Country *

2.1.8.2. Father's family name at birth

2.1.8.3. Forename of father

2.1.8.4. Mother's family name at birth

2.1.8.5. Forename of mother

2.2. Additional information on the person

2.2.1. Nationality

3. Entitlement *

3.1. Entitlement to export *

3.2. Please fill in the following if "Entitlement to export" = "Yes" :

3.2.1. Export period details

3.2.1.1. Last day of maximum period *

3.2.1.1.1. Date *

3.2.1.2. Estimated end of entitlement

3.2.1.2.1. Date *

3.2.2. Circumstances likely to affect the entitlement to Unemployment benefit *

3.2.2.1. Circumstances likely to affect the entitlement to Unemployment benefit *

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3.2.2.2. Please fill in the following if "Circumstances likely to affect the entitlement to Unemployment benefit" = "09 - Other circumstances"

3.2.2.2.1. Other circumstances specification

3.2.2.2.1.1. Circumstance *

3.2.2.2.1.Other circumstances specification

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U008 - Document on Export Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) of Regulation (EC) No 987/2009

U008 - Document on Export
Articles 64, 65(5)(b), 65a(3) of Regulation (EC) No 883/2004; Articles 55(1), 55(2) of Regulation (EC) No 987/2009