Reply on Interest

U027 - Reply on Interest
Articles 65(6), 65(7) of Regulation (EC) No 883/2004, Articles 70, 68 (2) 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 *

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1.1.2. Case number *

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1.1.3. Institution [ CC ]

1.1.3.1. Institution ID *

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1.1.3.2. Institution Name *

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

1.1.Local Case Number

2. Information on charging interest * [ SED ]

2.1. Reimbursement request ID *

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3. Charging of interest accepted * [ SED ]

3.1. Charging of interest accepted *

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3.2. Please fill in the following if "Charging of interest accepted " = "03 - Non accepted" : [ SED ]

3.2.1. Specify the reason for non-acceptance

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3.2.2. Please fill in the following if "Charging of interest accepted " = "03 - Non accepted" AND "Specify the reason for non-acceptance" = "99 - Other" : [ SED ]

3.2.2.1. Additional information

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4. Please fill in the following if "Charging of interest accepted " = "02 - Partially accepted" [ SED ]

4.1. Individual claim which cannot be subjected to interest * [ SED ]

4.1.1. Sequential number of individual claim *

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4.1.2. Person * [ CC ]

4.1.2.1. Family name(s) *

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4.1.2.2. Forename(s) *

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4.1.2.3. Date of birth *

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4.1.2.4. Sex *

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4.1.3. Specify the reason *

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4.1.4. Please fill in the following if "Specify the reason" = "03 - Other" : [ SED ]

4.1.4.1. Please specify Other

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4.1.Individual claim which cannot be subjected to interest

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U027 - Reply on Interest Articles 65(6), 65(7) of Regulation (EC) No 883/2004, Articles 70, 68 (2) of Regulation (EC) No 987/2009

U027 - Reply on Interest
Articles 65(6), 65(7) of Regulation (EC) No 883/2004, Articles 70, 68 (2) of Regulation (EC) No 987/2009