Contestation of Identification of the Overpayment (COC

DA073C - Contestation of Identification of the Overpayment (COC_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 COC_IO *

Global IO reference Liaison Body *

Global COC_IO reference Liaison Body *

Total number of individual contestations *

Total amount of individual overpayments *

Amount *

Currency *

Date of submission *

Individual COC_IOs *

Individual COC_IO *

ID Creditor institution *

Institution ID *

Institution Name *

ID Debtor institution *

Institution ID *

Institution Name *

References *

Global IO Reference Liaison Body *

Global COC_IO reference Liaison Body *

Individual IO number Liaison Body *

Individual COC_IO number Liaison Body *

Refund period *

Start Date *

End Date *

Refund Amount *

Amount *

Currency *

Contestation reasons *

Please fill in the following if "Reply" = "02 - We do not accept the overpayment and request further information"

Requested additional information's *

Please fill in the following if "Reply" = "99 - Other"

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 COC_IO

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DA073C - Contestation of Identification of the Overpayment (COC_IO) Articles 35 (2), 41 of Regulation (EC) No 883/2004, 62, 66, 67, 68, 69 of Regulation (EC) No 987/2009

DA073C - Contestation of Identification of the Overpayment (COC_IO)
Articles 35 (2), 41 of Regulation (EC) No 883/2004, 62, 66, 67, 68, 69 of Regulation (EC) No 987/2009