Country specific information

P3000_CZ - Country specific information - Czech Republic
Articles 45(4), 46(1), 47(4-5) of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Local case numbers [ CC ]

1.1. Local Case Number [ CC ]

1.1.1. Country *

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

1.1.2. Case number *

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

1.1.3. Institution

[ CC ]

1.1.3.1. Institution ID *

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

1.1.3.2. Institution Name *

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

1.1.Local Case Number

2. Insured 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 on the person [ SC ]

2.2.1. Additional information on the person [ SC ]

2.2.1.1. Nationality

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

2.2.1.2. Previous family name(s)

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

2.2.1.3. Previous forename(s)

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

2.2.2. Address

[ CC ]

2.2.2.1. Street

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

2.2.2.2. Building Name

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

2.2.2.3. Town *

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

2.2.2.4. Postal Code

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

2.2.2.5. Region

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

2.2.2.6. Country *

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

3. Claimant (survivor's pension) * [ SC ]

3.1. Person identification * [ CC ]

3.1.1. Family name(s) *

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

3.1.2. Forename(s) *

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

3.1.3. Date of birth *

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

3.1.4. Sex *

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

3.1.5. Family name(s) at birth

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

3.1.6. Forename(s) at birth

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

3.1.7. PIN of the person in each institution

[ CC ]

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

3.1.7.1.1. Country *

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

3.1.7.1.2. Personal Identification Number (PIN) *

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

3.1.7.1.3. Sector

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

3.1.7.1.4. Institution

[ CC ]

3.1.7.1.4.1. Institution ID *

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

3.1.7.1.4.2. Institution Name *

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

3.1.7.1.Personal Identification Number(s)

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

[ CC ]

3.1.8.1. Place of birth

[ CC ]

3.1.8.1.1. Town *

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

3.1.8.1.2. Region

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

3.1.8.1.3. Country *

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

3.1.8.2. Father's family name at birth

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

3.1.8.3. Forename of father

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

3.1.8.4. Mother's family name at birth

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

3.1.8.5. Forename of mother

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

3.2. Additional information on the person [ SC ]

3.2.1. Additional information on the person [ SC ]

3.2.1.1. Nationality

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

3.2.1.2. Previous family name(s)

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

3.2.1.3. Previous forename(s)

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

3.2.2. Address

[ CC ]

3.2.2.1. Street

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

3.2.2.2. Building Name

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

3.2.2.3. Town *

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

3.2.2.4. Postal Code

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

3.2.2.5. Region

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

3.2.2.6. Country *

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

4. Additional information for old age pension claim [ SED ]

4.1. Additional information on the insured person's own personal care of the child [ SED ]

4.1.1. Person's own personal care of the child

[ SED ]

4.1.1.1. Forename and Family name of the child

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

4.1.1.2. Birth date of the child

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

4.1.1.3. Start date of child raising period

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

4.1.1.4. End date of child raising period

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

4.1.1.5. Country of residence during child raising period

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

4.1.1.6. Other custody of the child

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

4.1.1.7. Place of the custody

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

4.1.1.8. Start date of the custody

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

4.1.1.9. End date of the custody

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

4.1.1.Person's own personal care of the child

4.2. Unable to provide the requested information in this section

[ SC ]

4.2.1. Is the requested information available?

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

4.2.2. Please fill in the following if the above is answered "No". [ SC ]

4.2.2.1. Reason

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

5. Additional information for survivor's pension claim [ SED ]

5.1. Additional information on the claimant's benefit details [ SED ]

5.1.1. Fit for work declaration of the claimant

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

5.1.2. The claimant is unfit for work

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

5.2. Additional information on the deceased insured person's own personal care of the child [ SED ]

5.2.1. Person's own personal care of the child

[ SED ]

5.2.1.1. Forename and Family name of the child

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

5.2.1.2. Birth date of the child

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

5.2.1.3. Start date of child raising period

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

5.2.1.4. End date of child raising period

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

5.2.1.5. Country of residence during child raising period

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

5.2.1.6. Other custody of the child

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

5.2.1.7. Place of the custody

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

5.2.1.8. Start date of the custody

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

5.2.1.9. End date of the custody

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

5.2.1.Person's own personal care of the child

5.3. Unable to provide the requested information in this section

[ SC ]

5.3.1. Is the requested information available?

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

5.3.2. Please fill in the following if the above is answered "No". [ SC ]

5.3.2.1. Reason

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

6. Additional information for invalidity pension claim [ SED ]

6.1. Additional information on the insured person's own personal care of the child [ SED ]

6.1.1. Person's own personal care of the child

[ SED ]

6.1.1.1. Forename and Family name of the child

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

6.1.1.2. Birth date of the child

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

6.1.1.3. Start date of child raising period

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

6.1.1.4. End date of child raising period

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

6.1.1.5. Country of residence during child raising period

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

6.1.1.6. Other custody of the child

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

6.1.1.7. Place of the custody

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

6.1.1.8. Start date of the custody

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

6.1.1.9. End date of the custody

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

6.1.1.Person's own personal care of the child

6.2. Unable to provide the requested information in this section

[ SC ]

6.2.1. Is the requested information available?

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

6.2.2. Please fill in the following if the above is answered "No". [ SC ]

6.2.2.1. Reason

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

{{ row.severityMessage }} : {{ row.message }}

P3000_CZ - Country specific information - Czech Republic Articles 45(4), 46(1), 47(4-5) of Regulation (EC) No 987/2009

P3000_CZ - Country specific information - Czech Republic
Articles 45(4), 46(1), 47(4-5) of Regulation (EC) No 987/2009