Contestation of inventory of months concerning one person (COC

S102 - Contestation of inventory of months concerning one person (COC_IMO)
Articles 63, 64, 65, 66, 67 of Regulation (EC) No 987/2009

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Global note COC_IMO * [ SED ]

1.1. Global IMO Reference Creditor Liaison Body *

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1.2. Global COC_IMO Reference Debtor Liaison Body *

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1.3. Total number of contested months *

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1.4. Date of submission *

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2. Individual COC_IMOs * [ SED ]

2.1. Individual COC_IMO * [ 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 *

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2.1.3. References * [ SED ]

2.1.3.1. Global IMO Reference Creditor Liaison Body *

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2.1.3.2. Global COC_IMO Reference Debtor Liaison Body *

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2.1.3.3. Individual IMO Number Creditor Liaison Body *

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2.1.3.4. Individual COC_IMO Number Debtor 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 *

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

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2.1.5. Contestation refusal code *

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

Please fill in the following if "Contestation refusal code" = "09 - The costs are to be settled by actual costs as from [date should be filled in]", "10 - The costs are to be settled by actual costs until [date should be filled in]", "14 - The entitlement in the state of residence started on [date should be filled in]", "15 - Family member concerned is entitled to benefits in the state of residence since [date should be filled in]", "16 - The person receives a pension in his/her state of residence as from [date should be filled in]", "18 - The person died on [date should be filled in]", "19 - IMO introduced after deadline [date should be filled in]" or "20 - Contestation IMO reply received after deadline [date should be filled in]" : [ SED ]

Please fill in the following if "Contestation refusal code" = "99 - Other [field 'Other' should be filled in]" : [ SED ]

Please fill in the following if "Contestation refusal code" = "13 - Double invoice [duplicated invoice number should be filled in]" : [ SED ]

2.1.6.1. Contestation refusal code info date

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2.1.7.1. Contestation refusal code info other

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2.1.8.1. Contestation refusal code information on duplicate invoice [ SED ]

2.1.8.1.1. Duplicated Total CLA Creditor Liaison Body *

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2.1.8.1.2. Duplicated CLA number Creditor Liaison Body *

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2.1.9. Number of months *

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

2.1.Individual COC_IMO

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S102 - Contestation of inventory of months concerning one person (COC_IMO) Articles 63, 64, 65, 66, 67 of Regulation (EC) No 987/2009

S102 - Contestation of inventory of months concerning one person (COC_IMO)
Articles 63, 64, 65, 66, 67 of Regulation (EC) No 987/2009