F002 - Reply for determining competence
Articles 1 (i), 11, 67, 68 of Regulation (EC) No 883/2004; Articles 2(2), 6(2), 11, 58, 59, 60(1), 60(2), 60(3), 60(4), 60(5), 72, 73, 74 of Regulation (EC) No 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Purpose of this SED
Purpose of this SED
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Receipt of application for family benefits
Date of receipt of the application
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Request for period of information
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Type of claim
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Information on application
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Points for which more information is needed
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Information about change in circumstances
Change of Circumstance for
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Additional request or information
Additional information
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Decision
Decision regarding all children mentioned in this SED
Decision which does not concern all children mentioned in this SED
Decision regarding all children mentioned in this SED
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Decision regarding all children mentioned in this SED
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Child for whom this decision applies
Family Name
*
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Forename
*
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Date of Birth
*
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Periods
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Type of decision
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The reason for decision
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Additional information
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Decisions on primary competence with article 68 of Regulation (EC) No 883/2004
Decision
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Payment of benefit
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Decision on secondary competence with article 68 of Regulation (EC) No 883/2004
Decision
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Payment of benefit
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Decision on primary competence with article 58 of Regulation (EC) No 987/2009
Decision
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Decision on secondary competence with article 58 of Regulation (EC) No 987/2009
Decision
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Content of decision
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Date of decision
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Reason for disagreement
Employment/self-employment period/status
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Period of pension received
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Insurance period
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Duration on territory
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Residence of child(ren)
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Personal situation elements (article 11 of Regulation (EC) No 987/2009)
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Additional grounds for disagreement
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Information on agreement/disagreement after communication
Information of agreement with decision
Decision dated
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Additional information of disagreement with decision
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In case of disagreement
The case will be taken to the Administrative Commission
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Additional information for grounds of disagreement
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Claimant
*
Person Identification
*
Family name(s)
*
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Forename(s)
*
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Date of birth
*
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Sex
*
{{option.name}}
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Family name(s) at birth
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Forename(s) at birth
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PIN of the person in each institution
Personal Identification Number(s)
*
Country
*
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Personal Identification Number (PIN)
*
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Sector
{{$select.selected[ 'name']}}
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Institution
Institution ID
*
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Institution Name
*
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If PIN not provided for every institution, please provide
Place of birth
Town
*
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Region
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Country
*
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Father's family name at birth
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Forename of father
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Mother's family name at birth
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Forename of mother
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Additional information about nationality
Nationalities
Nationality
*
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Since
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Addresses of the person
Address of the Person
Type of address
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Address
Street
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Building Name
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Town
*
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Postal Code
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Region
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Country
*
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Contact Details
Telephone Numbers
Telephone Number
Type
{{option.name}}
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Number
*
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Email Addresses
Email Address
Email Address
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Coverage by social security scheme
Periods Covered by security scheme in sending Member State
Period
Start Date
*
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End Date
*
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Periods Not covered
Period Not Covered
Start Date
*
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End Date
*
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Periods of Entitlement
Entitlement to Family Benefits, if yes
If no entitlement, choose one reason
Period Entitlement Family Benefits
Period of Entitlement to family benefit
Start Date
*
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End Date
*
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Reason
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Other reason
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Family relationship of the claimant to spouse or other person
Relationships
Family relationship
Family Relationship
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Other
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Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Other relationship
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Name of person
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Date of relationship
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Was the claimant a member of the same household as the person in question
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Status of the person
Person is regarded as an active person
Person is regarded as a non-active person
No information about activity of person
Type of Employment
*
{{option.name}}
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Periods of Employment
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Type of non-Active Person
*
{{option.name}}
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Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Additional Information
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{{metaSection.additionalInformation.$$warning}}
Employment Periods
Employment period
Start Date
*
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End Date
*
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{{metaSection.endDate.$$warning}}
Additional information
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{{metaSection.additionalInformation.$$warning}}
Periods of pension received in sending Member State
Period of pension received in sending Member State
Type of pension
{{option.name}}
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{{metaSection.typePension.$$warning}}
Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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{{metaSection.startDate.$$warning}}
Insurance periods in sending Member State
Insurance Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Grounds for residence
Durations on territory
Duration on territory
Fixed period
*
Open period
*
Start date
*
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End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
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Start date
*
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Moving date into sending Member State
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Moving date into receiving Member State
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Personal situation elements (article 11 of Regulation (EC) No 987/2009)
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{{metaSection.personalSituationElementsArticle11RegulationECNo9872009.$$warning}}
Information on spouse or partner
Person Identification
*
Family name(s)
*
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Forename(s)
*
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{{metaSection.forename.$$warning}}
Date of birth
*
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{{metaSection.dateBirth.$$warning}}
Sex
*
{{option.name}}
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{{metaSection.sex.$$warning}}
Family name(s) at birth
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{{metaSection.familyNameAtBirth.$$warning}}
Forename(s) at birth
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{{metaSection.forenameAtBirth.$$warning}}
PIN of the person in each institution
Personal Identification Number(s)
*
Country
*
{{$select.selected[ 'name']}}
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{{metaSection.country.$$warning}}
Personal Identification Number (PIN)
*
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Sector
{{$select.selected[ 'name']}}
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{{metaSection.sector.$$warning}}
Institution
Institution ID
*
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{{metaSection.institutionID.$$warning}}
Institution Name
*
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{{metaSection.institutionName.$$warning}}
If PIN not provided for every institution, please provide
Place of birth
Town
*
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{{metaSection.town.$$warning}}
Region
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Country
*
{{$select.selected[ 'name']}}
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Father's family name at birth
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{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Forename of father
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{{metaSection.forenameFather.$$warning}}
Mother's family name at birth
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{{metaSection.motherFamilyNameAtBirth.$$warning}}
Forename of mother
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{{metaSection.forenameMother.$$warning}}
Additional information about nationality
Nationalities
Nationality
*
{{$select.selected[ 'name']}}
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Since
{{metaSection.since.$$error}}
{{metaSection.since.$$warning}}
Addresses of the person
Address of the Person
Type of address
{{option.name}}
{{metaSection.typeAddress.$$error}}
{{metaSection.typeAddress.$$warning}}
Address
Street
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{{metaSection.street.$$warning}}
Building Name
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Town
*
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Postal Code
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{{metaSection.postalCode.$$warning}}
Region
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Country
*
{{$select.selected[ 'name']}}
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Contact Details
Telephone Numbers
Telephone Number
Type
{{option.name}}
{{metaSection.type.$$error}}
{{metaSection.type.$$warning}}
Number
*
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{{metaSection.number.$$warning}}
Email Addresses
Email Address
Email Address
{{metaSection.email.$$error}}
{{metaSection.email.$$warning}}
Coverage by social security scheme
Periods Covered by security scheme in sending Member State
Period
Start Date
*
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{{metaSection.startDate.$$warning}}
End Date
*
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{{metaSection.endDate.$$warning}}
Periods Not covered
Period Not Covered
Start Date
*
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{{metaSection.startDate.$$warning}}
End Date
*
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Periods of Entitlement
Entitlement to Family Benefits, if yes
If no entitlement, choose one reason
Period Entitlement Family Benefits
Period of Entitlement to family benefit
Start Date
*
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{{metaSection.startDate.$$warning}}
End Date
*
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{{metaSection.endDate.$$warning}}
Reason
{{option.name}}
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{{metaSection.reason.$$warning}}
Other reason
{{metaSection.otherReason.$$error}}
{{metaSection.otherReason.$$warning}}
Family relationship of the claimant to spouse or other person
Relationships
Family relationship
Family Relationship
{{$select.selected[ 'name']}}
{{metaSection.familyRelationship.$$error}}
{{metaSection.familyRelationship.$$warning}}
Other
{{metaSection.other.$$error}}
{{metaSection.other.$$warning}}
Period
Fixed period
*
Open period
*
Start date
*
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{{metaSection.startDate.$$warning}}
End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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{{metaSection.startDate.$$warning}}
Other relationship
{{metaSection.otherRelationship.$$error}}
{{metaSection.otherRelationship.$$warning}}
Name of person
{{metaSection.namePerson.$$error}}
{{metaSection.namePerson.$$warning}}
Date of relationship
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{{metaSection.dateRelationship.$$warning}}
Was the claimant a member of the same household as the person in question
{{option.name}}
{{metaSection.wasClaimantAMemberSameHouseholdPersonInQuestionIndicator.$$error}}
{{metaSection.wasClaimantAMemberSameHouseholdPersonInQuestionIndicator.$$warning}}
Status of the person
Person is regarded as an active person
Person is regarded as a non-active person
No information about activity of person
Type of Employment
*
{{option.name}}
{{metaSection.typeEmployment.$$error}}
{{metaSection.typeEmployment.$$warning}}
Periods of Employment
*
Period
*
Fixed period
*
Open period
*
Start date
*
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{{metaSection.startDate.$$warning}}
End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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Type of non-Active Person
*
{{option.name}}
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{{metaSection.typeNonActivePerson.$$warning}}
Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
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Start date
*
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Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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{{metaSection.startDate.$$warning}}
End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Additional Information
{{metaSection.additionalInformation.$$error}}
{{metaSection.additionalInformation.$$warning}}
Employment Periods
Employment period
Start Date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
End Date
*
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Additional information
{{metaSection.additionalInformation.$$error}}
{{metaSection.additionalInformation.$$warning}}
Periods of pension received in sending Member State
Period of pension received in sending Member State
Type of pension
{{option.name}}
{{metaSection.typePension.$$error}}
{{metaSection.typePension.$$warning}}
Period
Fixed period
*
Open period
*
Start date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
End date
*
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Insurance periods in sending Member State
Insurance Period
Fixed period
*
Open period
*
Start date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
End date
*
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
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Start date
*
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Grounds for residence
Durations on territory
Duration on territory
Fixed period
*
Open period
*
Start date
*
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End date
*
{{metaSection.endDate.$$error}}
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Type of Open Period
*
{{option.name}}
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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Moving date into sending Member State
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Moving date into receiving Member State
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Personal situation elements (article 11 of Regulation (EC) No 987/2009)
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Information on other person
Person Identification
*
Family name(s)
*
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{{metaSection.familyName.$$warning}}
Forename(s)
*
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{{metaSection.forename.$$warning}}
Date of birth
*
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Sex
*
{{option.name}}
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Family name(s) at birth
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Forename(s) at birth
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PIN of the person in each institution
Personal Identification Number(s)
*
Country
*
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Personal Identification Number (PIN)
*
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Sector
{{$select.selected[ 'name']}}
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Institution
Institution ID
*
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Institution Name
*
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If PIN not provided for every institution, please provide
Place of birth
Town
*
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Region
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Country
*
{{$select.selected[ 'name']}}
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Father's family name at birth
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Forename of father
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Mother's family name at birth
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Forename of mother
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Additional information about nationality
Nationalities
Nationality
*
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Since
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Addresses of the person
Address of the Person
Type of address
{{option.name}}
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Address
Street
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Building Name
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Town
*
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Postal Code
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Region
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Country
*
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Contact Details
Telephone Numbers
Telephone Number
Type
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Number
*
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Email Addresses
Email Address
Email Address
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Coverage by social security scheme
Periods Covered by security scheme in sending Member State
Period
Start Date
*
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End Date
*
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Periods Not covered
Period Not Covered
Start Date
*
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End Date
*
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Periods of Entitlement
Entitlement to Family Benefits, if yes
If no entitlement, choose one reason
Period Entitlement Family Benefits
Period of Entitlement to family benefit
Start Date
*
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End Date
*
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Reason
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Other reason
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Family relationship of the claimant to spouse or other person
Relationships
Family relationship
Family Relationship
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Other
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Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Other relationship
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Name of person
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Date of relationship
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Was the claimant a member of the same household as the person in question
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Status of the person
Person is regarded as an active person
Person is regarded as a non-active person
No information about activity of person
Type of Employment
*
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Periods of Employment
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Type of non-Active Person
*
{{option.name}}
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Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Periods of Non Activity
*
Period
*
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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Start date
*
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Additional Information
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Employment Periods
Employment period
Start Date
*
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End Date
*
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Additional information
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Periods of pension received in sending Member State
Period of pension received in sending Member State
Type of pension
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Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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Type of Open Period
*
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{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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Insurance periods in sending Member State
Insurance Period
Fixed period
*
Open period
*
Start date
*
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End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
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{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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Grounds for residence
Durations on territory
Duration on territory
Fixed period
*
Open period
*
Start date
*
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End date
*
{{metaSection.endDate.$$error}}
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Type of Open Period
*
{{option.name}}
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Start date
*
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{{metaSection.startDate.$$warning}}
Moving date into sending Member State
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Moving date into receiving Member State
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Personal situation elements (article 11 of Regulation (EC) No 987/2009)
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Claiming authority
Reason for authority claim
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Claiming authority
Institution ID
*
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Institution Name
*
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Bank details
SEPA account
*
Non-SEPA account
*
IBAN
*
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BIC-SWIFT
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Account number
*
{{metaSection.accountNumber.$$error}}
{{metaSection.accountNumber.$$warning}}
BIC-SWIFT
*
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Bank Name
*
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{{metaSection.bankName.$$warning}}
Bank Address
*
Street
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Building Name
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Town
*
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Postal Code
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Region
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Country
*
{{$select.selected[ 'name']}}
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{{metaSection.country.$$warning}}
Information on child(ren)
Child for whom this decision applies
*
Child Details
Family name(s)
*
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Forename(s)
*
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{{metaSection.forename.$$warning}}
Date of birth
*
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Sex
*
{{option.name}}
{{metaSection.sex.$$error}}
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Family name(s) at birth
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Forename(s) at birth
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PIN of the person in each institution
Personal Identification Number(s)
*
Country
*
{{$select.selected[ 'name']}}
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{{metaSection.country.$$warning}}
Personal Identification Number (PIN)
*
{{metaSection.personalIdentificationNumber.$$error}}
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Sector
{{$select.selected[ 'name']}}
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Institution
Institution ID
*
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Institution Name
*
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If PIN not provided for every institution, please provide
Place of birth
Town
*
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Region
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{{metaSection.region.$$warning}}
Country
*
{{$select.selected[ 'name']}}
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Father's family name at birth
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Forename of father
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Mother's family name at birth
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Forename of mother
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Additional information about nationality
Nationalities
Nationality
*
{{$select.selected[ 'name']}}
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Since
{{metaSection.since.$$error}}
{{metaSection.since.$$warning}}
Addresses of the child
Address of the Person
Type of address
{{option.name}}
{{metaSection.typeAddress.$$error}}
{{metaSection.typeAddress.$$warning}}
Address
Street
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Building Name
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Town
*
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Postal Code
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Region
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Country
*
{{$select.selected[ 'name']}}
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{{metaSection.country.$$warning}}
Relationships to claimant, spouse/partner or other person
Relationship per child
Relationship with
*
{{option.name}}
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{{metaSection.relationshipWith.$$warning}}
Type
*
{{$select.selected[ 'name']}}
{{metaSection.type.$$error}}
{{metaSection.type.$$warning}}
Period of Relationship
Fixed period
*
Open period
*
Start date
*
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End date
*
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{{metaSection.endDate.$$warning}}
Type of Open Period
*
{{option.name}}
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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Joint custody
{{option.name}}
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Child(ren)'s household
Is the child a member of the same household as the claimant
{{option.name}}
{{metaSection.isChildAMemberSameHouseholdClaimantIndicator.$$error}}
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Is the child a member of the same household as the spouse/partner in question
{{option.name}}
{{metaSection.isChildAMemberSameHouseholdSpousePartnerInQuestionIndicator.$$error}}
{{metaSection.isChildAMemberSameHouseholdSpousePartnerInQuestionIndicator.$$warning}}
Is the child a member of the same household as the other person in question
{{option.name}}
{{metaSection.isChildAMemberSameHouseholdOtherPersonInQuestionIndicator.$$error}}
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Is child in the institution
{{option.name}}
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Grounds for residence
Durations on territory
Duration on territory
Fixed period
*
Open period
*
Start date
*
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End date
*
{{metaSection.endDate.$$error}}
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Type of Open Period
*
{{option.name}}
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Start date
*
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{{metaSection.startDate.$$warning}}
Moving date into sending Member State
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Moving date into receiving Member State
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Personal situation elements (article 11 of Regulation (EC) No 987/2009)
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Amounts, names and currencies for family benefits of the Children
Amount, name and currency for family benefits for a child
Name of child
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Name of benefit
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Family Benefit Details
Amount
Amount
*
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Currency
*
{{$select.selected[ 'name']}}
{{metaSection.currency.$$error}}
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Date for granted benefits
Start Date
*
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
End Date
*
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Period definition
*
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Name of beneficiary
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Amounts of family benefit(s) for the entire family
Amount of Family Benefit
Name of benefit
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Number of persons benefits are granted for
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Family Benefit Details
Amount
Amount
*
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Currency
*
{{$select.selected[ 'name']}}
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Date for granted benefits
Start Date
*
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End Date
*
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Period definition
*
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Name of beneficiary
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Request or reply to request for offsetting of family benefits for children
Request or reply to request for offsetting of family benefits for a child
Request or reply to request for offsetting of family benefits for a child
{{option.name}}
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Name of child
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Name of benefit
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Family Benefit Details
Amount
Amount
*
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Currency
*
{{$select.selected[ 'name']}}
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Date for granted benefits
Start Date
*
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End Date
*
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Period definition
*
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Name of beneficiary
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Grounds of request for overpayment offsetting
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Additional information
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Date of decision
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Request or reply to request for offsetting of family benefits for the entire family
Request or reply to request for offsetting of family benefit for entire family
Request or reply to request for offsetting of family benefit for entire family
{{option.name}}
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Name of benefit
{{metaSection.nameBenefit.$$error}}
{{metaSection.nameBenefit.$$warning}}
Number of persons benefits are granted for
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Family Benefit Details
Amount
Amount
*
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Currency
*
{{$select.selected[ 'name']}}
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{{metaSection.currency.$$warning}}
Date for granted benefits
Start Date
*
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End Date
*
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Period definition
*
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{{metaSection.periodDefinition.$$warning}}
Name of beneficiary
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{{metaSection.nameBeneficiary.$$warning}}
Grounds of request for overpayment offsetting
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{{metaSection.groundsRequestForOverpaymentOffsetting.$$warning}}
Additional information
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{{metaSection.additionalInformation.$$warning}}
Date of decision
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Claim for reimbursement with article 58 of Regulation (EC) No 987/2009
Claim
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