Reply to Contestation of Individual Claim - Benefits in Kind (RPY

DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC)
Articles 35, 41 of Regulation (EC) No 883/2004, 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 RPY_COC *

Global CLA reference Creditor Liaison Body *

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Global COC reference Debtor Liaison Body *

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Global RPY_COC reference Creditor Liaison Body *

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Total Number of Individual Contestation Replies *

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Total Amount Of Accepted Contestations *

Amount *

Currency *

Date Of Submission *

Individual RPY_COCs *

Individual RPY_COC

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 COC Reference Debtor Liaison Body *

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Global RPY_COC Reference Creditor Liaison Body *

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Individual CLA Number Creditor Liaison Body *

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Individual COC Number Debtor Liaison Body *

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Individual RPY_COC Number Creditor 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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Information on the Reply to Contestation *

Reply to contestation *

Please fill in the following if "Reply to contestation code" = "02 - Contestation partially accepted and invoice concerned decreased", "05 - According to the attached documents the invoice has to be paid", "06 - After checking no double invoice", "07 - Enclosed you find the requested documents", "08 - Enclosed you find the entitlement document" :
Please fill in the following if "Reply to contestation code" = "03 - Contestation after deadline, received on" :
Please fill in the following if "Reply to contestation code" = "99 - Other" :

Details on reply to contestation

Date of contestation after deadline

Other

Amount Accepted Contestations *

Amount *

Currency *

Amount Benefits *

Amount *

Currency *

Individual RPY_COC

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DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC) Articles 35, 41 of Regulation (EC) No 883/2004, 62 66 (1), 67 of Regulation (EC) No 987/2009

DA017 - Reply to Contestation of Individual Claim - Benefits in Kind (RPY_COC)
Articles 35, 41 of Regulation (EC) No 883/2004, 62 66 (1), 67 of Regulation (EC) No 987/2009