Reply to request for information

R014 - Reply to request for information
Article 76 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. Concerns *

2.1. Concerns *

Please fill in the following if "Concerns" = "Person" :
Please fill in the following if "Concerns" = "Employer" :

3.1. Persons

3.1.1. Person *

3.1.1.1. Person Identification *

3.1.1.1.1. Family name(s) *

3.1.1.1.2. Forename(s) *

3.1.1.1.3. Date of birth *

3.1.1.1.4. Sex *

3.1.1.1.5. Family name(s) at birth

3.1.1.1.6. Forename(s) at birth

3.1.1.1.7. PIN of the person in each institution

3.1.1.1.7.1. Personal Identification Number(s) *

3.1.1.1.7.1.1. Country *

3.1.1.1.7.1.2. Personal Identification Number (PIN) *

3.1.1.1.7.1.3. Sector

3.1.1.1.7.1.4. Institution

3.1.1.1.7.1.4.1. Institution ID *

3.1.1.1.7.1.4.2. Institution Name *

3.1.1.1.7.1.Personal Identification Number(s)

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

3.1.1.1.8.1. Place of birth

3.1.1.1.8.1.1. Town *

3.1.1.1.8.1.2. Region

3.1.1.1.8.1.3. Country *

3.1.1.1.8.2. Father's family name at birth

3.1.1.1.8.3. Forename of father

3.1.1.1.8.4. Mother's family name at birth

3.1.1.1.8.5. Forename of mother

3.1.1.2. Additional information about a person *

3.1.1.2.1. Status of the person *

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

3.1.1.2.2.1. Other status of the person

3.1.1.2.3. Nationality

3.1.1.2.4. Previous family name(s)

3.1.1.2.4.1. Previous family name(s)

3.1.1.2.4.1.1. Previous family name(s)

3.1.1.2.4.1.Previous family name(s)

3.1.1.2.5. Previous forenames

3.1.1.2.5.1. Previous forename

3.1.1.2.5.1.1. Previous forename

3.1.1.2.5.1.Previous forename

3.1.1.2.6. Current family status

3.1.1.2.7. Date of death

3.1.1.Person

4.1. Employer *

4.1.1. Name *

4.1.2. Identification numbers

4.1.2.1. Identification number

4.1.2.1.1. Number *

4.1.2.1.2. Type *

4.1.2.1.Identification number

4.1.3. Address

4.1.3.1. Street

4.1.3.2. Building Name

4.1.3.3. Town *

4.1.3.4. Postal Code

4.1.3.5. Region

4.1.3.6. Country *

4.2. Responsible person or section

4.2.1. Responsible person or section

4.2.2. Contact Information

4.2.2.1. Telephone Numbers

4.2.2.1.1. Telephone Number

4.2.2.1.1.1. Type

4.2.2.1.1.2. Number *

4.2.2.1.1.Telephone Number

4.2.2.2. Email Addresses

4.2.2.2.1. Email Address

4.2.2.2.1.1. Email Address

4.2.2.2.1.Email Address

4.3. Persons

4.3.1. Person *

4.3.1.1. Person Identification *

4.3.1.1.1. Family name(s) *

4.3.1.1.2. Forename(s) *

4.3.1.1.3. Date of birth *

4.3.1.1.4. Sex *

4.3.1.1.5. Family name(s) at birth

4.3.1.1.6. Forename(s) at birth

4.3.1.1.7. PIN of the person in each institution

4.3.1.1.7.1. Personal Identification Number(s) *

4.3.1.1.7.1.1. Country *

4.3.1.1.7.1.2. Personal Identification Number (PIN) *

4.3.1.1.7.1.3. Sector

4.3.1.1.7.1.4. Institution

4.3.1.1.7.1.4.1. Institution ID *

4.3.1.1.7.1.4.2. Institution Name *

4.3.1.1.7.1.Personal Identification Number(s)

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

4.3.1.1.8.1. Place of birth

4.3.1.1.8.1.1. Town *

4.3.1.1.8.1.2. Region

4.3.1.1.8.1.3. Country *

4.3.1.1.8.2. Father's family name at birth

4.3.1.1.8.3. Forename of father

4.3.1.1.8.4. Mother's family name at birth

4.3.1.1.8.5. Forename of mother

4.3.1.2. Additional information about a person *

4.3.1.2.1. Status of the person *

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

4.3.1.2.2.1. Other status of the person

4.3.1.2.3. Nationality

4.3.1.2.4. Previous family name(s)

4.3.1.2.4.1. Previous family name(s)

4.3.1.2.4.1.1. Previous family name(s)

4.3.1.2.4.1.Previous family name(s)

4.3.1.2.5. Previous forenames

4.3.1.2.5.1. Previous forename

4.3.1.2.5.1.1. Previous forename

4.3.1.2.5.1.Previous forename

4.3.1.2.6. Current family status

4.3.1.2.7. Date of death

4.3.1.Person

5. No information

5.1. No information

6. Further information concerning a deceased person

6.1. Deceased person details

6.1.1. Person (debtor) deceased on

6.1.2. Heirs or will executors details

6.1.2.1. Heirs or will executor details

6.1.2.1.1. Name of heir or will executor

6.1.2.1.2. Address of heir or will executor

6.1.2.1.2.1. Street

6.1.2.1.2.2. Building Name

6.1.2.1.2.3. Town *

6.1.2.1.2.4. Postal Code

6.1.2.1.2.5. Region

6.1.2.1.2.6. Country *

6.1.2.1.Heirs or will executor details

6.2. No information about heirs/will executors can be given

6.2.1. Reason why no information can be given

7. The person or employer concerned is bankrupt or insolvent

7.1. Date of order

7.2. Date of release

7.3. Bankruptcy or Liquidation details

7.3.1. Name of trustee or liquidator

7.3.2. Address of the trustee or liquidator

7.3.2.1. Street

7.3.2.2. Building Name

7.3.2.3. Town *

7.3.2.4. Postal Code

7.3.2.5. Region

7.3.2.6. Country *

8. Identity of person or employer concerned

8.1. Identity confirmed

8.2. The following data about the identity of the person or employer has changed (or is added):

8.2.1. Family name (surname)

8.2.2. Forename(s)

8.2.3. Family name at birth

8.2.4. Forename(s) at birth

8.2.5. Date of birth

8.2.6. Legal status (if a company)

8.2.7. Company name

9. Address

9.1. Address confirmed

9.2. The following address data has changed (or is added)

9.2.1. Street

9.2.2. Building Name

9.2.3. Town *

9.2.4. Postal Code

9.2.5. Region

9.2.6. Country *

10. Financial situation

10.1. Income of person

10.1.1. Employment

10.1.1.1. Employment information

10.1.1.1.1. Employer's details

10.1.1.1.1.1. Name *

10.1.1.1.1.2. Identification numbers

10.1.1.1.1.2.1. Identification number

10.1.1.1.1.2.1.1. Number *

10.1.1.1.1.2.1.2. Type *

10.1.1.1.1.2.1.Identification number

10.1.1.1.1.3. Address

10.1.1.1.1.3.1. Street

10.1.1.1.1.3.2. Building Name

10.1.1.1.1.3.3. Town *

10.1.1.1.1.3.4. Postal Code

10.1.1.1.1.3.5. Region

10.1.1.1.1.3.6. Country *

10.1.1.1.2. Income details

10.1.1.1.2.1. Payment *

10.1.1.1.2.1.1. Amount *

10.1.1.1.2.1.2. Currency *

10.1.1.1.2.2. Payment frequency

10.1.1.1.2.3. Please fill in the following if "Payment frequency" = "Other" :

10.1.1.1.2.3.1. Other frequency

10.1.1.1.Employment information

10.1.2. Self employment

10.1.2.1. Self employment information *

10.1.2.1.1. Self employer's details

10.1.2.1.1.1. Name *

10.1.2.1.1.2. Identification numbers

10.1.2.1.1.2.1. Identification number

10.1.2.1.1.2.1.1. Number *

10.1.2.1.1.2.1.2. Type *

10.1.2.1.1.2.1.Identification number

10.1.2.1.1.3. Address

10.1.2.1.1.3.1. Street

10.1.2.1.1.3.2. Building Name

10.1.2.1.1.3.3. Town *

10.1.2.1.1.3.4. Postal Code

10.1.2.1.1.3.5. Region

10.1.2.1.1.3.6. Country *

10.1.2.1.2. Income details

10.1.2.1.2.1. Payment *

10.1.2.1.2.1.1. Amount *

10.1.2.1.2.1.2. Currency *

10.1.2.1.2.2. Payment frequency

10.1.2.1.2.3. Please fill in the following if "Payment frequency" = "Other" :

10.1.2.1.2.3.1. Other frequency

10.1.2.1.Self employment information

10.1.3. Benefits received

10.1.3.1. Benefit received

10.1.3.1.1. Type of benefit *

10.1.3.1.1.1. Type of benefit *

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

10.1.3.1.1.2.1. Type of other benefits

10.1.3.1.2. Income details

10.1.3.1.2.1. Payment *

10.1.3.1.2.1.1. Amount *

10.1.3.1.2.1.2. Currency *

10.1.3.1.2.2. Payment frequency

10.1.3.1.2.3. Please fill in the following if "Payment frequency" = "Other" :

10.1.3.1.2.3.1. Other frequency

10.1.3.1.Benefit received

10.2. Income of employer

10.2.1. Estimated annual turnover *

10.2.2. Currency *

10.3. Property owned by the person or employer concerned

10.3.1. Address of property

10.3.1.1. Street

10.3.1.2. Building Name

10.3.1.3. Town *

10.3.1.4. Postal Code

10.3.1.5. Region

10.3.1.6. Country *

10.3.2. Estimated value

10.3.3. Currency

10.4. Other assets

11. Additional information

11.1. Additional information

{{ row.severity }} : {{ row.message }}

R014 - Reply to request for information Article 76 of Regulation(EC) No 987/2009

R014 - Reply to request for information
Article 76 of Regulation(EC) No 987/2009