Contestation of Credit Note (COC

DA012C - Contestation of Credit Note (COC_CRN)
Articles 35, 41 of Regulation (EC) No 883/2004, 62, 66 (1), 67 of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Global Note COC_CRN * [ SED ]

1.1. Global CLA reference Creditor Liaison Body *

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1.2. Global CRN reference Creditor Liaison Body *

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1.3. Global COC_CRN reference Debtor Liaison Body *

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1.4. Total number of Individual Credit notes contestations *

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1.5. Total Amount Of Credit Notes Contestations * [ CC ]

1.5.1. Amount *

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1.5.2. Currency *

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1.6. Date Of Submission *

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2. Individual COC_CRNs * [ SED ]

2.1. Individual COC_CRN * [ SED ]

2.1.1. ID Creditor Institution * [ CC ]

2.1.1.1. Institution ID *

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2.1.1.2. Institution Name *

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2.1.2. ID Debtor Institution * [ CC ]

2.1.2.1. Institution ID *

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2.1.2.2. Institution Name *

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2.1.3. References * [ SED ]

2.1.3.1. Global CLA Reference Creditor Liaison Body *

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2.1.3.2. Global CRN Reference Creditor Liaison Body *

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2.1.3.3. Global COC_CRN Reference Debtor Liaison Body *

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2.1.3.4. Individual CLA Number Creditor Liaison Body *

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2.1.3.5. Individual CRN Number Creditor Liaison Body *

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2.1.3.6. Individual COC_CRN Number Debtor Liaison Body *

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2.1.4. Person receiving benefits * [ CC ]

2.1.4.1. Person Information * [ CC ]

2.1.4.1.1. Family name(s) *

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2.1.4.1.2. Forename(s) *

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2.1.4.1.3. Date of birth *

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2.1.4.1.4. Sex *

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2.1.4.2. Family name(s) at birth

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2.1.4.3. Forename(s) at birth

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2.1.4.4. Person Identification Number * [ CC ]

2.1.4.4.1. PIN of the person in Competent Member State *

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2.1.4.4.2. PIN of the person in Member State of Stay or Residence

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2.1.5. Credit note contestations reasons *

[ ENUM ] {{metaSection.creditNoteContestationsReasons.$$error}} {{metaSection.creditNoteContestationsReasons.$$warning}}

2.1.6. Please fill in the following if "Credit note contestations reasons" = "99 - Other" : [ SED ]

2.1.6.1. Credit note contestation other reason

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2.1.7. Amount contested * [ CC ]

2.1.7.1. Amount *

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2.1.7.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.1.Individual COC_CRN

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DA012C - Contestation of Credit Note (COC_CRN) Articles 35, 41 of Regulation (EC) No 883/2004, 62, 66 (1), 67 of Regulation (EC) No 987/2009

DA012C - Contestation of Credit Note (COC_CRN)
Articles 35, 41 of Regulation (EC) No 883/2004, 62, 66 (1), 67 of Regulation (EC) No 987/2009