Notification of withdrawal or reduction of claim

R025 - Notification of withdrawal or reduction of claim
Article 78 (5) 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

Reason for Withdrawal or Reduction *

Date the claim was withdrawn or reduced *

Reason the claim was withdrawn or reduced *

Please fill in the following if "Reason the claim was withdrawn or reduced" = "Other" :

Other reason

Action required *

Receiving institution is asked to *

Please fill in the following if "Receiving institution is asked to" = "Other" :

State action required

Revised claim

Claim details *

Currency

Currency of the Sending Institution *

Currency of the Receiving Institution *

Exchange rates used on date of request *

Exchange rate used on date of request *

Exchange rate *

Exchange rate used on date of request

Period

Start Date *

End Date *

Amount in the currency of the sending institution *

Principal amount

Interest

Fines

Administrative penalties

Other charges or costs

Total amount *

Amount In The Currency Of The Receiving Institution *

Principal amount

Interest

Fines

Administrative penalties

Other charges or costs

Total amount *

Claim details

{{ row.severityMessage }} : {{ row.message }}

R025 - Notification of withdrawal or reduction of claim Article 78 (5) of Regulation (EC) No 987/2009

R025 - Notification of withdrawal or reduction of claim
Article 78 (5) of Regulation (EC) No 987/2009