Request for information of periods

F022 - Request for information of periods
Article 6 of Regulation (EC) No 883/2004; Article12 of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Provide us with information of periods of insurance, employment, self-employment, residence for the following period [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

1.1.1. Start date *

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

1.1.2. End date *

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

1.2.1. Type of Open Period *

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

1.2.2. Start date *

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

2. Person *

[ SC ]

2.1. Person Identification * [ CC ]

2.1.1. Family name(s) *

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

2.1.2. Forename(s) *

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

2.1.3. Date of birth *

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

2.1.4. Sex *

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

2.1.5. Family name(s) at birth

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

2.1.6. Forename(s) at birth

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

2.1.7. PIN of the person in each institution

[ CC ]

2.1.7.1. Personal Identification Number(s) * [ CC ]

2.1.7.1.1. Country *

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

2.1.7.1.2. Personal Identification Number (PIN) *

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

2.1.7.1.3. Sector

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

2.1.7.1.4. Institution

[ CC ]

2.1.7.1.4.1. Institution ID *

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

2.1.7.1.4.2. Institution Name *

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

2.1.7.1.Personal Identification Number(s)

2.1.8. If PIN not provided for every institution, please provide

[ CC ]

2.1.8.1. Place of birth

[ CC ]

2.1.8.1.1. Town *

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

2.1.8.1.2. Region

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

2.1.8.1.3. Country *

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

2.1.8.2. Father's family name at birth

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

2.1.8.3. Forename of father

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

2.1.8.4. Mother's family name at birth

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

2.1.8.5. Forename of mother

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

2.2. Additional information about nationality [ SC ]

2.2.1. Nationalities [ SC ]

2.2.1.1. Nationality *

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

2.2.1.2. Since

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

2.2.1.Nationalities

2.3. Addresses of the person [ SC ]

2.3.1. Address of the Person

[ SC ]

2.3.1.1. Type of address

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

2.3.1.2. Address

[ CC ]

2.3.1.2.1. Street

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

2.3.1.2.2. Building Name

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

2.3.1.2.3. Town *

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

2.3.1.2.4. Postal Code

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

2.3.1.2.5. Region

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

2.3.1.2.6. Country *

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

2.3.1.Address of the Person

2.4. Contact Details [ CC ]

2.4.1. Telephone Numbers [ CC ]

2.4.1.1. Telephone Number [ CC ]

2.4.1.1.1. Type

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

2.4.1.1.2. Number *

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

2.4.1.1.Telephone Number

2.4.2. Email Addresses [ CC ]

2.4.2.1. Email Address [ CC ]

2.4.2.1.1. Email Address

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

2.4.2.1.Email Address

2.5. Coverage by social security scheme [ SC ]

2.5.1. Periods Covered by security scheme in sending Member State

[ SC ]

2.5.1.1. Period

[ CC ]

2.5.1.1.1. Start Date *

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

2.5.1.1.2. End Date *

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

2.5.1.1.Period

2.5.2. Periods Not covered [ SC ]

2.5.2.1. Period Not Covered

[ CC ]

2.5.2.1.1. Start Date *

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

2.5.2.1.2. End Date *

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

2.5.2.1.Period Not Covered

2.5.3. Periods of Entitlement [ SC ]

Entitlement to Family Benefits, if yes [ SC ]

If no entitlement, choose one reason [ SC ]

2.5.3.1.1. Period Entitlement Family Benefits [ SC ]

2.5.3.1.1.1. Period of Entitlement to family benefit

[ CC ]

2.5.3.1.1.1.1. Start Date *

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

2.5.3.1.1.1.2. End Date *

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

2.5.3.1.1.1.Period of Entitlement to family benefit

2.5.3.2.1. Reason

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

2.5.3.2.2. Other reason

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

3. Periods at the last registered institution

[ SC ]

3.1. Institution

[ CC ]

3.1.1. Institution ID *

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

3.1.2. Institution Name *

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

3.2. Insurance and Residence Periods [ SC ]

3.2.1. Insurance and Residence Period [ SC ]

3.2.1.1. Period * [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

3.2.1.1.1.1. Start date *

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

3.2.1.1.1.2. End date *

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

3.2.1.1.2.1. Type of Open Period *

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

3.2.1.1.2.2. Start date *

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

3.2.1.2. Type of Period *

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

3.2.1.Insurance and Residence Period

4. Periods at the Institution in the place of residence

[ SC ]

4.1. Institution

[ CC ]

4.1.1. Institution ID *

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

4.1.2. Institution Name *

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

4.2. Insurance and Residence Periods [ SC ]

4.2.1. Insurance and Residence Period [ SC ]

4.2.1.1. Period * [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

4.2.1.1.1.1. Start date *

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

4.2.1.1.1.2. End date *

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

4.2.1.1.2.1. Type of Open Period *

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

4.2.1.1.2.2. Start date *

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

4.2.1.2. Type of Period *

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

4.2.1.Insurance and Residence Period

5. Periods at the current registered Institution

[ SC ]

5.1. Institution

[ CC ]

5.1.1. Institution ID *

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

5.1.2. Institution Name *

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

5.2. Insurance and Residence Periods [ SC ]

5.2.1. Insurance and Residence Period [ SC ]

5.2.1.1. Period * [ CC ]

Fixed period* [ CC ]

Open period* [ CC ]

5.2.1.1.1.1. Start date *

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

5.2.1.1.1.2. End date *

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

5.2.1.1.2.1. Type of Open Period *

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

5.2.1.1.2.2. Start date *

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

5.2.1.2. Type of Period *

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

5.2.1.Insurance and Residence Period

6. Additional information

[ SC ]

6.1. Additional information

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F022 - Request for information of periods Article 6 of Regulation (EC) No 883/2004; Article12 of Regulation (EC) No 987/2009

F022 - Request for information of periods
Article 6 of Regulation (EC) No 883/2004; Article12 of Regulation (EC) No 987/2009