Information on payment of individual claim (PAY)

S091 - Information on payment of individual claim (PAY)
Articles 62, 66(1), 67 of Regulation (EC) No 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Global note PAY *

Global CLA Reference Creditor Liaison Body *

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Global PAY Reference Debtor Liaison Body *

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Total number of individual payments *

Total payment amount to be paid*
Total payment amount to be refunded*

Amount *

Currency *

Amount *

Currency *

Total amount of credit notes

Amount *

Currency *

Total amount of contestations

Amount *

Currency *

Total amount of benefits *

Amount *

Currency *

Total Amount of down payment *

Amount *

Currency *

Total Amount of Overpayment

Amount *

Currency *

Overpayment references

Overpayment reference

Reference number *

Amount *

Currency *

Overpayment reference

Offsetting references

Offsetting reference

Reference number *

Amount *

Currency *

Offsetting reference

Date Of Submission *

Individual PAYs *

Individual PAY *

ID Creditor Institution *

Institution ID *

Institution Name *

ID Debtor Institution *

Institution ID *

Institution Name *

References *

Global CLA Reference Creditor Liaison Body *

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Global PAY Reference Debtor Liaison Body *

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Individual CLA number Creditor Liaison Body *

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COC References Debtor Liaison Body

COC Reference Debtor Liaison Body

Global COC Reference Debtor Liaison Body

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Individual COC number Debtor Liaison Body

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COC Reference Debtor Liaison Body

Individual PAY number Debtor Liaison Body *

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Person Receiving Benefits *

Person Information *

Family name(s) *

Forename(s) *

Date of birth *

Sex *

Family name(s) at birth

Forename(s) at birth

Person Identification Number *

PIN of the person in Competent Member State *

PIN of the person in Member State of Stay or Residence

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Total individual amount of payment *

Amount *

Currency *

Total individual amount of benefits *

Amount *

Currency *

Total individual amount of credit notes

Amount *

Currency *

Pay information on credit notes

PAY Information On Credit Note

Original Global CLA Reference Creditor Liaison Body

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Global CRN Reference Creditor Liaison Body

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Individual CRN number Creditor Liaison Body

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PAY Information On Credit Note

Total individual amount of contestations

Amount *

Currency *

Individual PAY

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S091 - Information on payment of individual claim (PAY) Articles 62, 66(1), 67 of Regulation (EC) No 987/2009

S091 - Information on payment of individual claim (PAY)
Articles 62, 66(1), 67 of Regulation (EC) No 987/2009