Reply to request for recovery/precautionary measures

R018 - Reply to request for recovery/precautionary measures
Articles 78, 80, 81(2), 82, 83 or 84 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

Concerns *

Please fill in the following if "Concerns" = "Person" :
Please fill in the following if "Concerns" = "Employer" :

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

Employer *

Name *

Identification numbers

Identification number

Number *

Type *

Identification number

Address

Street

Building Name

Town *

Postal Code

Region

Country *

Responsible person or section

Contact Information

Telephone Numbers

Telephone Number

Type

Number *

Telephone Number

Email Addresses

Email Address

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

Claim cannot be recovered or request cannot be accepted

Request cannot be accepted or claim cannot be recovered because

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Please fill in the following if "Recovery action is not possible because of" = "Other reason" :

State the reason

Debtor details have changed

Address details changed

The debtor is known but the following addresses details have changed

Changed address details

Type of address *

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

Specify "Other" Type

Address detail *

Street

Building Name

Town *

Postal Code

Region

Country *

Changed address details

Recovery

The debtor is deceased

Deceased person details

Person (debtor) deceased on

Heirs or will executors details

Heirs or will executor details

Name of heir or will executor

Address of heir or will executor

Street

Building Name

Town *

Postal Code

Region

Country *

Heirs or will executor details

No information about heirs/will executors can be given

Reason why no information can be given

Recovery

The debtor concerned is bankrupt or insolvent

Bankruptcy or insolvency details

Date of order

Date of release

Bankruptcy or Liquidation details

Name of trustee or liquidator

Address of the trustee or liquidator

Street

Building Name

Town *

Postal Code

Region

Country *

Recovery

Other relevant information

Additional information

Please provide the requested additional information

Requested additional information

Payment by instalments

Agreement to accept the following proposal

Instalments details

Instalment amount in the currency of the requested institution

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Number of instalments

Start date

End date

Pre-payment

Recovery of the claim

The claim has been

Please fill in the following if "The claim has been" = "Partially recovered" or "Not recovered"

Recovery Procedure will continue
No further recovery action will be taken

Recovery procedure will continue

Recovery Procedure will continue

Reason

Recovery costs

Costs related to recovery will be deducted from the amount recovered

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Amount of costs related to recovery which will be deducted from the recovered amount

Amount details

Amount *

Currency *

Evidence that these costs were incurred is given by the attached documents (Please provide details)

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R018 - Reply to request for recovery/precautionary measures Articles 78, 80, 81(2), 82, 83 or 84 of Regulation (EC) No 987/2009

R018 - Reply to request for recovery/precautionary measures
Articles 78, 80, 81(2), 82, 83 or 84 of Regulation (EC) No 987/2009