Prašymas kompensuoti laikinai mokėtas įmokas

R010 - Prašymas kompensuoti laikinai mokėtas įmokas
Reglamento (EB) Nr. 987/2009 73 straipsnio 2 dalis

SED API version: 0.16.2 build 2
Model version: 4.2.0

Vietiniai bylos numeriai [ CC ]

Vietinis bylos numeris [ CC ]

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Bylos numeris *

[ CDT ] {{metaSection.caseNumber.$$error}} {{metaSection.caseNumber.$$warning}}

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Įstaigos pavadinimas *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

Vietinis bylos numeris

Susijęs * [ SC ]

Susijęs *

[ ENUM ] {{metaSection.concerns.$$error}} {{metaSection.concerns.$$warning}}

Jei punkte „Susijęs su“ pažymėjote „Asmuo“, toliau įrašykite: [ SED ]

Jei punkte „Susijęs su“ pažymėjote „Darbdavys“, toliau įrašykite: [ SC ]

Asmenys [ SC ]

Asmuo * [ SC ]

Asmens tapatybės duomenys * [ CC ]

Pavardė (-ės) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

Vardas (-ai) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

Gimimo data *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

Lytis *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

Pavardė (-ės) (gimus)

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

Vardas (-ai) gimus

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

Asmens PIN kiekvienoje įstaigoje [ CC ]

Asmens identifikavimo numeris (-iai) * [ CC ]

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Asmens identifikavimo numeris (-iai) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

Sektorius

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Įstaigos pavadinimas *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

Asmens identifikavimo numeris (-iai)

Jei PIN nepateiktas kiekvienai įstaigai, pateikite [ CC ]

Gimimo vieta [ CC ]

Miestas *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Rajonas

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Tėvo pavardė (gimus)

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

Tėvo vardas

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

Motinos pavardė (gimus)

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

Motinos vardas

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

Papildoma informacija apie asmenį * [ SC ]

Asmens statusas *

[ ENUM ] {{metaSection.statusPerson.$$error}} {{metaSection.statusPerson.$$warning}}

Jei punkte „Asmens statusas“ pažymėjote „Kita“, toliau įrašykite: [ SC ]

Kitas asmens statusas

[ CDT ] {{metaSection.otherStatusPerson.$$error}} {{metaSection.otherStatusPerson.$$warning}}

Pilietybė

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

Ankstesnė (-ės) pavardė (-ės) [ SC ]

Ankstesnė (-ės) pavardė (-ės)

[ BDT ] {{metaSection.previousFamilyName.$$error}} {{metaSection.previousFamilyName.$$warning}}

Ankstesnė (-ės) pavardė (-ės)

Ankstesnis (-i) vardas (-ai) [ SC ]

Ankstesnis (-i) vardas (-ai)

[ BDT ] {{metaSection.previousForename.$$error}} {{metaSection.previousForename.$$warning}}

Ankstesnis (-i) vardas (-ai)

Esama šeiminė padėtis

[ ENUM ] {{metaSection.currentFamilyStatus.$$error}} {{metaSection.currentFamilyStatus.$$warning}}

Mirties data

[ BDT ] {{metaSection.dateDeath.$$error}} {{metaSection.dateDeath.$$warning}}

Paskutiniai žinomi asmens adresai [ SC ]

Paskutinis žinomas asmens adresas * [ SC ]

Adreso rūšis *

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

Jei punkte „Adreso rūšis“ nurodėte „Kita“, toliau įrašykite: [ SC ]

Nurodykite rūšį „Kita“

[ CDT ] {{metaSection.specifyOtherType.$$error}} {{metaSection.specifyOtherType.$$warning}}

Adresas * [ CC ]

Gatvė

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Pastato pavadinimas

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Miestas *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Pašto kodas

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Rajonas

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Paskutinis žinomas asmens adresas

Asmuo

Darbdavys * [ CC ]

Pavadinimas *

[ CDT ] {{metaSection.name.$$error}} {{metaSection.name.$$warning}}

Identifikavimo numeriai [ CC ]

Identifikavimo numeris [ CC ]

Numeris *

[ CDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

Rūšis *

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

Identifikavimo numeris

Adresas [ CC ]

Gatvė

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Pastato pavadinimas

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Miestas *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Pašto kodas

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Rajonas

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Atsakingas asmuo arba skyrius [ SC ]

Atsakingas asmuo arba skyrius

[ CDT ] {{metaSection.responsiblePersonOrSection.$$error}} {{metaSection.responsiblePersonOrSection.$$warning}}

Kontaktinė informacija [ CC ]

Telefono numeriai [ CC ]

Telefono numeris [ CC ]

Rūšis

[ ENUM ] {{metaSection.type.$$error}} {{metaSection.type.$$warning}}

Numeris *

[ BDT ] {{metaSection.number.$$error}} {{metaSection.number.$$warning}}

Telefono numeris

El. pašto adresai [ CC ]

El. pašto adresas [ CC ]

El. pašto adresas

[ BDT ] {{metaSection.email.$$error}} {{metaSection.email.$$warning}}

El. pašto adresas

Asmenys [ SC ]

Asmuo * [ SC ]

Asmens tapatybės duomenys * [ CC ]

Pavardė (-ės) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

Vardas (-ai) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

Gimimo data *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

Lytis *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

Pavardė (-ės) (gimus)

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

Vardas (-ai) gimus

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

Asmens PIN kiekvienoje įstaigoje [ CC ]

Asmens identifikavimo numeris (-iai) * [ CC ]

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Asmens identifikavimo numeris (-iai) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

Sektorius

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

Įstaiga [ CC ]

Įstaigos identifikavimo numeris *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Įstaigos pavadinimas *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

Asmens identifikavimo numeris (-iai)

Jei PIN nepateiktas kiekvienai įstaigai, pateikite [ CC ]

Gimimo vieta [ CC ]

Miestas *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Rajonas

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

Tėvo pavardė (gimus)

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

Tėvo vardas

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

Motinos pavardė (gimus)

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

Motinos vardas

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

Papildoma informacija apie asmenį * [ SC ]

Asmens statusas *

[ ENUM ] {{metaSection.statusPerson.$$error}} {{metaSection.statusPerson.$$warning}}

Jei punkte „Asmens statusas“ pažymėjote „Kita“, toliau įrašykite: [ SC ]

Kitas asmens statusas

[ CDT ] {{metaSection.otherStatusPerson.$$error}} {{metaSection.otherStatusPerson.$$warning}}

Pilietybė

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

Ankstesnė (-ės) pavardė (-ės) [ SC ]

Ankstesnė (-ės) pavardė (-ės)

[ BDT ] {{metaSection.previousFamilyName.$$error}} {{metaSection.previousFamilyName.$$warning}}

Ankstesnė (-ės) pavardė (-ės)

Ankstesnis (-i) vardas (-ai) [ SC ]

Ankstesnis (-i) vardas (-ai)

[ BDT ] {{metaSection.previousForename.$$error}} {{metaSection.previousForename.$$warning}}

Ankstesnis (-i) vardas (-ai)

Esama šeiminė padėtis

[ ENUM ] {{metaSection.currentFamilyStatus.$$error}} {{metaSection.currentFamilyStatus.$$warning}}

Mirties data

[ BDT ] {{metaSection.dateDeath.$$error}} {{metaSection.dateDeath.$$warning}}

Asmuo

Sprendimas dėl kompetentingos įstaigos * [ SED ]

Kompetencijos nustatymo data *

[ BDT ] {{metaSection.dateCompetenceDetermined.$$error}} {{metaSection.dateCompetenceDetermined.$$warning}}

Prašymo pateikimo terminas *

[ BDT ] {{metaSection.dateByWhichThisRequestMustMade.$$error}} {{metaSection.dateByWhichThisRequestMustMade.$$warning}}

Įmokų rūšis * [ SC ]

Įmokos rūšis * [ SC ]

Įmoka *

[ ENUM ] {{metaSection.contribution.$$error}} {{metaSection.contribution.$$warning}}

Jei punkte „Pridedami dokumentai“ pažymėjote „Kita“, toliau įrašykite: [ SC ]

Kita

[ CDT ] {{metaSection.other.$$error}} {{metaSection.other.$$warning}}

Įmokos laikotarpis * [ CC ]

Pradžios data *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

Pabaigos data *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

Įmokos suma * [ SC ]

Suma *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

Siunčiančiosios įstaigos valiuta *

[ ENUM ] {{metaSection.currencySendingInstitution.$$error}} {{metaSection.currencySendingInstitution.$$warning}}

Darbdavio dalies suma

[ BDT ] {{metaSection.amountEmployerPart.$$error}} {{metaSection.amountEmployerPart.$$warning}}

Apdraustojo asmens sumos dalis

[ BDT ] {{metaSection.amountInsuredPersonPart.$$error}} {{metaSection.amountInsuredPersonPart.$$warning}}

Įmokos rūšis

Banko duomenys * [ SC ]

SEPA banko duomenys * [ CC ]

IBAN *

[ BDT ] {{metaSection.IBAN.$$error}} {{metaSection.IBAN.$$warning}}

SWIFT (BIC)

[ BDT ] {{metaSection.BICSWIFT.$$error}} {{metaSection.BICSWIFT.$$warning}}

Sąskaitos turėtojo vardas ir pavardė *

[ CDT ] {{metaSection.accountHolderName.$$error}} {{metaSection.accountHolderName.$$warning}}

Mokėjimo nuoroda *

[ CDT ] {{metaSection.paymentReference.$$error}} {{metaSection.paymentReference.$$warning}}

Banko adreso gavimas [ CC ]

Gatvė

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

Pastato pavadinimas

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

Miestas *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

Pašto kodas

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

Rajonas

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

Šalis *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

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

R010 - Prašymas kompensuoti laikinai mokėtas įmokas Reglamento (EB) Nr. 987/2009 73 straipsnio 2 dalis

R010 - Prašymas kompensuoti laikinai mokėtas įmokas
Reglamento (EB) Nr. 987/2009 73 straipsnio 2 dalis