Notification of Summary note

P7000 - Notification of Summary note
Article 48 of Regulation 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. Pension(s) awarded [ SED ]

4.1. Awarded pension decision [ SED ]

4.1.1. Type of pension

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

4.1.2. Institution [ SC ]

4.1.2.1. Institution [ CC ]

4.1.2.1.1. Country *

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

4.1.2.1.2. Personal Identification Number (PIN) *

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

4.1.2.1.3. Sector

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

4.1.2.1.4. Institution [ CC ]

4.1.2.1.4.1. Institution ID *

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

4.1.2.1.4.2. Institution Name *

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

4.1.2.2. Case Number

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

4.1.3. Pension awarded

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

4.1.4. Date when the decision was issued (stated on the decision) *

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

4.1.5. Start date of pension right

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

4.1.6. Details of pension payment periods [ SED ]

4.1.6.1. Payable from

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

4.1.6.2. Payable to

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

4.1.6.3. Gross amount of pension

[ PRIM ] {{metaSection.grossAmountPension.$$error}} {{metaSection.grossAmountPension.$$warning}}

4.1.6.4. Currency

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

4.1.6.5. Payment frequency

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

4.1.6.6. Please fill in the following if "Payment frequency" = "Other" : [ SED ]

4.1.6.6.1. Other payment frequency

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

4.1.6.Details of pension payment periods

4.1.7. Pension has been reduced in view of

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

4.1.8. Information on the right to a review [ SED ]

4.1.8.1. Time limits for the review

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

4.1.8.2. Where to address the review [ SED ]

4.1.8.2.1. Where to address the review

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

4.1.8.2.Where to address the review

4.1.Awarded pension decision

5. Pension(s) rejected [ SED ]

5.1. Rejected pension decision [ SED ]

5.1.1. Type of pension

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

5.1.2. Institution [ SC ]

5.1.2.1. Institution [ CC ]

5.1.2.1.1. Country *

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

5.1.2.1.2. Personal Identification Number (PIN) *

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

5.1.2.1.3. Sector

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

5.1.2.1.4. Institution [ CC ]

5.1.2.1.4.1. Institution ID *

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

5.1.2.1.4.2. Institution Name *

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

5.1.2.2. Case Number

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

5.1.3. Date when the decision was issued (stated on the decision) *

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

5.1.4. Rejection reasons

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

5.1.5. Information on the right to a review [ SED ]

5.1.5.1. Time limits for the review

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

5.1.5.2. Where to address the review [ SED ]

5.1.5.2.1. Where to address the review

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

5.1.5.2.Where to address the review

5.1.Rejected pension decision

6. Summary note has been mailed [ SED ]

6.1. Date

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P7000 - Notification of Summary note Article 48 of Regulation 987/2009

P7000 - Notification of Summary note
Article 48 of Regulation 987/2009