Contestation of individual claim (COC)

S082 - Contestation of individual claim (COC)
Articles 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 * [ SED ]

1.1. Global CLA Reference Creditor Liaison Body *

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

1.2. Global COC Reference Debtor Liaison Body *

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

1.3. Total Number Of Contestations *

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

1.4. Total amount of contestations * [ CC ]

1.4.1. Amount *

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

1.4.2. Currency *

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

1.5. Date Of Submission *

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

2. Individual COCs * [ SED ]

2.1. Individual COC * [ SED ]

2.1.1. ID Creditor Institution * [ CC ]

2.1.1.1. Institution ID *

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

2.1.1.2. Institution Name *

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

2.1.2. ID Debtor Institution * [ CC ]

2.1.2.1. Institution ID *

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

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 *

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

2.1.3.2. Global COC Reference Debtor Liaison Body *

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

2.1.3.3. Individual CLA number Creditor Liaison Body *

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

2.1.3.4. Individual COC number Debtor Liaison Body *

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

2.1.4. Person Receiving Benefits * [ CC ]

2.1.4.1. Person Information * [ CC ]

2.1.4.1.1. Family name(s) *

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

2.1.4.1.2. Forename(s) *

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

2.1.4.1.3. Date of birth *

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

2.1.4.1.4. Sex *

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

2.1.4.2. Family name(s) at birth

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

2.1.4.3. Forename(s) at birth

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

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. Contestation Refusal Code *

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

Please fill in the following if "Contestation refusal code" = "10 - The costs are to be settled by lump-sum as from", "11 - The costs are to be settled by lump-sum until", "15 - The entitlement in the state of residence started on", "16 - The benefits seem to concern an accident at work that happened on", "17 - The person died on", "22 - Claim introduced after deadline" or "23 - Contestation reply received after deadline" : [ SED ]

Please fill in the following if "Contestation refusal code" = "99 - Other" : [ SED ]

Please fill in the following if "Contestation refusal code" = "14 - Double invoice" : [ SED ]

2.1.6.1. Contestation refusal code info date

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

2.1.7.1. Contestation refusal code info other

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

2.1.8.1. Contestation Refusal Code Information On Duplicated Invoice [ SED ]

2.1.8.1.1. Duplicated Total CLA Creditor Liaison Body

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

2.1.8.1.2. Duplicated CLA number Creditor Liaison Body

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

2.1.9. Individual amount contestation * [ CC ]

2.1.9.1. Amount *

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

2.1.9.2. Currency *

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

2.1.Individual COC

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

S082 - Contestation of individual claim (COC) Articles 62, 66(1), 67 of Regulation (EC) No 987/2009

S082 - Contestation of individual claim (COC)
Articles 62, 66(1), 67 of Regulation (EC) No 987/2009