S080 - Claim for reimbursement (CLA) Articles 62, 66(1), 67 of Regulation (EC) No 987/2009
SED API version: 0.14.2 PREVIEW build 3 Model version: 4.0.16
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Please fill in the following if "Entitlement document" = "01 - EHIC - European Health Insurance Card" : Please fill in the following if "Entitlement document" = "02 - PRC Provisional Replacement Certificate", "04 - S2 Entitlement to scheduled treatment", "08 - S045 Entitlement document - Temporary Stay" or "12 - E112 Certificate concerning the retention of the right to sickness or maternity benefits" : Please fill in the following if "Entitlement document" = "02 - PRC Provisional Replacement Certificate", "04 - S2 Entitlement to scheduled treatment", "08 - S045 Entitlement document - Temporary Stay" or "12 - E112 Certificate concerning the retention of the right to sickness or maternity benefits" :