F016 - Request for discharge of benefits
Article 68a of Regulation (EC) No 883/2004

SED API version: 0.16.2 build 2
Model version: 4.2.0








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Entitlement to Family Benefits, if yes
If no entitlement, choose one reason















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Entitlement to Family Benefits, if yes
If no entitlement, choose one reason













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Entitlement to Family Benefits, if yes
If no entitlement, choose one reason













SEPA account*
Non-SEPA account*













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