Reply to request for deductions from arrears/ongoing payments

R002 - Reply to request for deductions from arrears/ongoing payments
Article 72(1) of Regulation (EC) No 987/2009

SED API version: 0.14.2 PREVIEW build 3
Model version: 4.0.16

1. Local case numbers

1.1. Local Case Number

1.1.1. Country *

1.1.2. Case number *

1.1.3. Institution

1.1.3.1. Institution ID *

1.1.3.2. Institution Name *

1.1.Local Case Number

2. Persons *

2.1. Person *

2.1.1. Person Identification *

2.1.1.1. Family name(s) *

2.1.1.2. Forename(s) *

2.1.1.3. Date of birth *

2.1.1.4. Sex *

2.1.1.5. Family name(s) at birth

2.1.1.6. Forename(s) at birth

2.1.1.7. PIN of the person in each institution

2.1.1.7.1. Personal Identification Number(s) *

2.1.1.7.1.1. Country *

2.1.1.7.1.2. Personal Identification Number (PIN) *

2.1.1.7.1.3. Sector

2.1.1.7.1.4. Institution

2.1.1.7.1.4.1. Institution ID *

2.1.1.7.1.4.2. Institution Name *

2.1.1.7.1.Personal Identification Number(s)

2.1.1.8. If PIN not provided for every institution, please provide

2.1.1.8.1. Place of birth

2.1.1.8.1.1. Town *

2.1.1.8.1.2. Region

2.1.1.8.1.3. Country *

2.1.1.8.2. Father's family name at birth

2.1.1.8.3. Forename of father

2.1.1.8.4. Mother's family name at birth

2.1.1.8.5. Forename of mother

2.1.2. Additional information about a person *

2.1.2.1. Status of the person *

2.1.2.2. Please fill in the following if "Status of the person" = "Other" :

2.1.2.2.1. Other status of the person

2.1.2.3. Nationality

2.1.2.4. Previous family name(s)

2.1.2.4.1. Previous family name(s)

2.1.2.4.1.1. Previous family name(s)

2.1.2.4.1.Previous family name(s)

2.1.2.5. Previous forenames

2.1.2.5.1. Previous forename

2.1.2.5.1.1. Previous forename

2.1.2.5.1.Previous forename

2.1.2.6. Current family status

2.1.2.7. Date of death

2.1.Person

3. Type of benefit *

3.1. Type of benefit

3.2. Please fill in the following if "Type of benefit" = "Other benefit" :

3.2.1. Type of other benefits

4. Reply to original request *

4.1. Type of request *

4.2. Please fill in the following if "Type of request" = "Provisional" :

4.2.1. Start date of entitlement of benefit

4.2.1.1. Start date of entitlement to benefit

4.2.2. Amount of benefits

4.2.2.1. Amount of benefit

4.2.2.1.1. Frequency *

4.2.2.1.2. Please fill in the following if "Frequency" = "Other" :

4.2.2.1.2.1. Other frequency

4.2.2.1.3. Number of periodic units *

4.2.2.1.4. Amount per unit *

4.2.2.1.4.1. Amount *

4.2.2.1.4.2. Currency *

4.2.2.1.Amount of benefit

5. Deduction possible from *

5.1. Arrears *

5.2. Ongoing payments *

6. Please fill in the following if "Type of request" = "Final" and "Arrears" = "Yes":

6.1. Deduction from arrears

6.1.1. Deduction from arrears amount

6.1.1.1. Amount *

6.1.1.2. Currency *

6.1.2. Overpayment can be deducted completely from arrears *

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6.1.3. Please fill in the following if "Overpayment can be deducted completely from arrears" = "No" :

6.1.3.1. Detailed information about arrears at disposal

6.1.3.1.1. Start date *

6.1.3.1.2. Details

6.1.3.1.2.1. Frequency *

6.1.3.1.2.2. Please fill in the following if "Frequency" = "Other" :

6.1.3.1.2.2.1. Other frequency

6.1.3.1.2.3. Number of periodic units *

6.1.3.1.2.4. Amount per unit *

6.1.3.1.2.4.1. Amount *

6.1.3.1.2.4.2. Currency *

6.1.3.1.Detailed information about arrears at disposal

7. Please fill in the following if "Type of request" = "Final" and "Ongoing payments" = "Yes" :

7.1. Deduction from ongoing payments

7.1.1. Frequency *

7.1.2. Please fill in the following if "Frequency" = "Other" :

7.1.2.1. Other frequency

7.1.3. Number of periodic units *

7.1.4. Amount per unit *

7.1.4.1. Amount *

7.1.4.2. Currency *

8. Additional information

8.1. Additional information

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R002 - Reply to request for deductions from arrears/ongoing payments Article 72(1) of Regulation (EC) No 987/2009

R002 - Reply to request for deductions from arrears/ongoing payments
Article 72(1) of Regulation (EC) No 987/2009