Information Related to Cash Benefits in Respect of Incapacity for Work or other crucial information

S047 - Information Related to Cash Benefits in Respect of Incapacity for Work or other crucial information - given by competent institution
Article 21 of Regulation (EC) No 883/2004; Article 2(2) of Regulation (EC) No 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Person *

Person Identification *

Family name(s) *

Forename(s) *

Date of birth *

Sex *

Family name(s) at birth

Forename(s) at birth

PIN of the person in each institution

Personal Identification Number(s) *

Country *

Personal Identification Number (PIN) *

Sector

Institution

Institution ID *

Institution Name *

Personal Identification Number(s)

If PIN not provided for every institution, please provide

Place of birth

Town *

Region

Country *

Father's family name at birth

Forename of father

Mother's family name at birth

Forename of mother

Additional information on the person

Nationality

Person's address

Street

Building Name

Town *

Postal Code

Region

Country *

We inform you about *

Type of information

Please fill in the following if "Type of information" = "01 - The last day for which the person concerned receives cash benefits in respect of incapacity of work" :

The last day for which the person concerned receives cash benefits in respect of incapacity of work

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Please fill in the following if "Type of information" = "02 - Crucial information or any other additional information" :

Other crucial information or any additional information

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S047 - Information Related to Cash Benefits in Respect of Incapacity for Work or other crucial information - given by competent institution Article 21 of Regulation (EC) No 883/2004; Article 2(2) of Regulation (EC) No 987/2009

S047 - Information Related to Cash Benefits in Respect of Incapacity for Work or other crucial information - given by competent institution
Article 21 of Regulation (EC) No 883/2004; Article 2(2) of Regulation (EC) No 987/2009