Reply to Contestation of Individual Claim - Benefits in Kind (RPY

DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC)
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 RPY_COC * [ SED ]

1.1. Global CLA reference Creditor Liaison Body *

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1.2. Global COC reference Debtor Liaison Body *

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1.3. Global RPY_COC reference Creditor Liaison Body *

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1.4. Total Number of Individual Contestation Replies *

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1.5. Total Amount Of Accepted 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 RPY_COCs * [ SED ]

2.1. Individual RPY_COC [ 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 *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

2.1.3. References * [ SED ]

2.1.3.1. Global CLA Reference Creditor Liaison Body *

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2.1.3.2. Global COC Reference Debtor Liaison Body *

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2.1.3.3. Global RPY_COC Reference Creditor Liaison Body *

[ BDT ] {{metaSection.globalRPYCOCReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalRPYCOCReferenceCreditorLiaisonBody.$$warning}}

2.1.3.4. Individual CLA Number Creditor Liaison Body *

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2.1.3.5. Individual COC Number Debtor Liaison Body *

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2.1.3.6. Individual RPY_COC Number Creditor 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 *

[ BDT ] {{metaSection.pINPersonInCompetentMemberState.$$error}} {{metaSection.pINPersonInCompetentMemberState.$$warning}}

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

[ BDT ] {{metaSection.pINPersonInMemberStateStayOrResidence.$$error}} {{metaSection.pINPersonInMemberStateStayOrResidence.$$warning}}

2.1.5. Information on the Reply to Contestation * [ SED ]

2.1.5.1. Reply to contestation *

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Please fill in the following if "Reply to contestation code" = "02 - Contestation partially accepted and invoice concerned decreased", "05 - According to the attached documents the invoice has to be paid", "06 - After checking no double invoice", "07 - Enclosed you find the requested documents", "08 - Enclosed you find the entitlement document" : [ SED ]

Please fill in the following if "Reply to contestation code" = "03 - Contestation after deadline, received on" : [ SED ]

Please fill in the following if "Reply to contestation code" = "99 - Other" : [ SED ]

2.1.5.2.1. Details on reply to contestation

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2.1.5.3.1. Date of contestation after deadline

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2.1.5.4.1. Other

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2.1.6. Amount Accepted Contestations * [ CC ]

2.1.6.1. Amount *

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2.1.6.2. Currency *

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

2.1.7. Amount Benefits * [ CC ]

2.1.7.1. Amount *

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2.1.7.2. Currency *

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2.1.Individual RPY_COC

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DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC) Articles 35, 41 of Regulation (EC) No 883/2004, 62 66 (1), 67 of Regulation (EC) No 987/2009

DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC)
Articles 35, 41 of Regulation (EC) No 883/2004, 62 66 (1), 67 of Regulation (EC) No 987/2009