Reply on Interest

U027 - Reply on Interest
Articles 65(6), 65(7) of Regulation (EC) No 883/2004, Articles 70, 68 (2) of Regulation (EC) No 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Local case numbers

Local Case Number

Country *

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Case number *

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Institution

Institution ID *

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Institution Name *

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Local Case Number

Information on charging interest *

Reimbursement request ID *

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Charging of interest accepted *

Charging of interest accepted *

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Please fill in the following if "Charging of interest accepted " = "03 - Non accepted" :

Specify the reason for non-acceptance

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Please fill in the following if "Charging of interest accepted " = "03 - Non accepted" AND "Specify the reason for non-acceptance" = "99 - Other" :

Additional information

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Please fill in the following if "Charging of interest accepted " = "02 - Partially accepted"

Individual claim which cannot be subjected to interest *

Sequential number of individual claim *

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Person *

Family name(s) *

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Forename(s) *

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Date of birth *

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Sex *

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Specify the reason *

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Please fill in the following if "Specify the reason" = "99 - Other" :

Please specify Other

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Individual claim which cannot be subjected to interest

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