Reply to request for deductions from arrears/ongoing payments

R002 - Reply to request for deductions from arrears/ongoing payments
Article 72(1) 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 *

Case number *

Institution

Institution ID *

Institution Name *

Local Case Number

Persons *

Person *

Person Identification *

Family name(s) *

Forename(s) *

Date of birth *

Sex *

Family name(s) at birth

Forename(s) at birth

PIN of the person in each institution

Personal Identification Number(s) *

Country *

Personal Identification Number (PIN) *

Sector

Institution

Institution ID *

Institution Name *

Personal Identification Number(s)

If PIN not provided for every institution, please provide

Place of birth

Town *

Region

Country *

Father's family name at birth

Forename of father

Mother's family name at birth

Forename of mother

Additional information about a person *

Status of the person *

Please fill in the following if "Status of the person" = "Other" :

Other status of the person

Nationality

Previous family name(s)

Previous forenames

Previous forename

Current family status

Date of death

Person

Type of benefit *

Type of benefit

Please fill in the following if "Type of benefit" = "Other benefit" :

Type of other benefits

Reply to original request *

Type of request *

Please fill in the following if "Type of request" = "Provisional" :

Start date of entitlement of benefit

Start date of entitlement to benefit

Amount of benefits

Amount of benefit

Frequency *

Please fill in the following if "Frequency" = "Other" :

Other frequency

Number of periodic units *

Amount per unit *

Amount *

Currency *

Amount of benefit

Deduction possible from *

Arrears *

Ongoing payments *

Please fill in the following if "Type of request" = "Final" and "Arrears" = "Yes":

Deduction from arrears

Deduction from arrears amount

Amount *

Currency *

Overpayment can be deducted completely from arrears *

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Please fill in the following if "Overpayment can be deducted completely from arrears" = "No" :

Detailed information about arrears at disposal

Start date *

Details

Frequency *

Please fill in the following if "Frequency" = "Other" :

Other frequency

Number of periodic units *

Amount per unit *

Amount *

Currency *

Detailed information about arrears at disposal

Please fill in the following if "Type of request" = "Final" and "Ongoing payments" = "Yes" :

Deduction from ongoing payments

Frequency *

Please fill in the following if "Frequency" = "Other" :

Other frequency

Number of periodic units *

Amount per unit *

Amount *

Currency *

Additional information

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R002 - Reply to request for deductions from arrears/ongoing payments Article 72(1) of Regulation (EC) No 987/2009

R002 - Reply to request for deductions from arrears/ongoing payments
Article 72(1) of Regulation (EC) No 987/2009