Identification of Overpayment (IO)

DA071 - Identification of Overpayment (IO)
Articles 35 (2), 41 of Regulation (EC) No 883/2004, 62, 66, 67, 68, 69 of Regulation (EC) No 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Global note - Identification of the Overpayments (IO) *

Global IO Reference Liaison Body *

Identification of the sender *

Total number of individual IO *

Total amount of individual overpayments *

Amount *

Currency *

Date of submission *

Individual Information of the Overpayments (IO) *

Individual Information of the Overpayment (IO) *

ID Creditor institution *

Institution ID *

Institution Name *

ID Debtor institution *

Institution ID *

Institution Name *

References *

Global IO Reference Liaison Body *

Global CLA reference Creditor Liaison Body *

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Individual IO number Liaison Body *

Individual CLA number Creditor Liaison Body *

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Date Creditor/Debtor Institution Recorded IO *

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Refund period *

Start Date *

End Date *

Refund Amount *

Amount *

Currency *

Refund reason *

Please fill in the following if "Refund reason" = "01 - Contestation has been issued for paid claim" or "Refund reason" = "02 - Credit note has been issued for paid claim"

Date

Please fill in the following if "Refund reason" = "99 - Other [field 'Other' should be filled in]" :

Other

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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Individual CLA Amount *

Amount *

Currency *

Individual Information of the Overpayment (IO)

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DA071 - Identification of Overpayment (IO) Articles 35 (2), 41 of Regulation (EC) No 883/2004, 62, 66, 67, 68, 69 of Regulation (EC) No 987/2009

DA071 - Identification of Overpayment (IO)
Articles 35 (2), 41 of Regulation (EC) No 883/2004, 62, 66, 67, 68, 69 of Regulation (EC) No 987/2009