Verzoek om kennisgeving

R015 - Verzoek om kennisgeving
Artikel 77 van Verordening (EG) nr. 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Lokale dossiernummers [ CC ]

Lokaal dossiernummer [ CC ]

Land *

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

Zaaknummer *

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

Orgaan

[ CC ]

Identificatienummer van het orgaan *

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

Naam orgaan *

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

Lokaal dossiernummer

Soort vordering * [ SC ]

Soort vordering *

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

Sectorcode *

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

Gelieve in te vullen als "Sectorcode" = "Andere": [ SC ]

Andere sectorcode

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

Betreft * [ SC ]

Betreft *

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

Verklaring * [ SC ]

Verklaring *

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

Reden van het verzoek als de vordering meer dan 5 jaar oud is

[ CDT ] {{metaSection.reasonForRequestWhereClaimMoreThan5YearsOld.$$error}} {{metaSection.reasonForRequestWhereClaimMoreThan5YearsOld.$$warning}}

Het totaalbedrag (inclusief rente, boetes en/of kosten) is: *

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

Totaalbedrag * [ CC ]

Bedrag *

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

Munteenheid *

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

Gelieve in te vullen als "Betreft" = "Persoon": [ SED ]

Gelieve in te vullen als "Betreft" = "Werkgever": [ SC ]

Personen [ SC ]

Persoon * [ SC ]

Identificatie persoon * [ CC ]

Achternaam/-namen *

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

Voornaam/-namen *

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

Geboortedatum *

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

Geslacht *

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

Achternaam/-namen bij de geboorte

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

Voornaam/-namen bij de geboorte

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

PIN van de persoon bij elk orgaan

[ CC ]

Persoonlijk(e) identificatienummer(s) * [ CC ]

Land *

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

Persoonlijk identificatienummer (PIN) *

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

Sector

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

Orgaan

[ CC ]

Identificatienummer van het orgaan *

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

Naam orgaan *

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

Persoonlijk(e) identificatienummer(s)

Indien niet voor elke instantie PIN is vermeld, invullen a.u.b.

[ CC ]

Geboorteplaats

[ CC ]

Plaats *

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

Regio

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

Land *

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

Familienaam vader bij de geboorte

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

Voornaam vader

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

Achternaam moeder bij de geboorte

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

Voornaam moeder

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

Aanvullende informatie over een persoon * [ SC ]

Status van de persoon *

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

Gelieve in te vullen als "Status van de persoon" = "Andere": [ SC ]

Andere status van de persoon

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

Nationaliteit

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

Vroegere achternaam/-namen [ SC ]

Vroegere achternaam/-namen

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

Vroegere achternaam/-namen

Vorige voornamen [ SC ]

Vroegere voornaam [ SC ]

Vroegere voornaam

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

Vroegere voornaam

Huidige gezinssituatie

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

Datum van overlijden

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

Laatste bekende adressen van persoon [ SC ]

Laatste bekende adresgegevens van persoon * [ SC ]

Soort adres *

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

Gelieve in te vullen als "Soort adres“ = "Ander": [ SC ]

Specificeer "Ander"

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

Adresgegevens *

[ CC ]

Straat

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

Naam van het gebouw

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

Plaats *

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

Postcode

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

Regio

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

Land *

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

Laatste bekende adresgegevens van persoon

Persoon

Werkgever *

[ CC ]

Naam *

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

Identificatienummers

[ CC ]

Identificatienummer

[ CC ]

Nummer *

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

Soort *

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

Identificatienummer

Adres

[ CC ]

Straat

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

Naam van het gebouw

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

Plaats *

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

Postcode

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

Regio

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

Land *

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

Verantwoordelijke persoon of afdeling [ SC ]

Verantwoordelijke persoon of afdeling

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

Contactgegevens [ CC ]

Telefoonnummers [ CC ]

Telefoonnummer [ CC ]

Soort

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

Nummer *

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

Telefoonnummer

E-mailadressen [ CC ]

E-mailadres [ CC ]

E-mailadres

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

E-mailadres

Personen

[ SC ]

Persoon * [ SC ]

Identificatie persoon * [ CC ]

Achternaam/-namen *

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

Voornaam/-namen *

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

Geboortedatum *

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

Geslacht *

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

Achternaam/-namen bij de geboorte

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

Voornaam/-namen bij de geboorte

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

PIN van de persoon bij elk orgaan

[ CC ]

Persoonlijk(e) identificatienummer(s) * [ CC ]

Land *

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

Persoonlijk identificatienummer (PIN) *

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

Sector

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

Orgaan

[ CC ]

Identificatienummer van het orgaan *

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

Naam orgaan *

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

Persoonlijk(e) identificatienummer(s)

Indien niet voor elke instantie PIN is vermeld, invullen a.u.b.

[ CC ]

Geboorteplaats

[ CC ]

Plaats *

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

Regio

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

Land *

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

Familienaam vader bij de geboorte

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

Voornaam vader

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

Achternaam moeder bij de geboorte

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

Voornaam moeder

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

Aanvullende informatie over een persoon * [ SC ]

Status van de persoon *

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

Gelieve in te vullen als "Status van de persoon" = "Andere": [ SC ]

Andere status van de persoon

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

Nationaliteit

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

Vroegere achternaam/-namen [ SC ]

Vroegere achternaam/-namen

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

Vroegere achternaam/-namen

Vorige voornamen [ SC ]

Vroegere voornaam [ SC ]

Vroegere voornaam

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

Vroegere voornaam

Huidige gezinssituatie

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

Datum van overlijden

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

Persoon

Te verstrekken document * [ SED ]

Soort te verstrekken document *

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

Gelieve in te vullen als "Soort document" = "Ander": [ SED ]

Specificeer ander soort document

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

Kennisgevingsformulier * [ SC ]

Kennisgevingsformulier *

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

Gelieve in te vullen als "Kennisgevingsformulier" = "Overige" [ SC ]

Specificeer ander kennisgevingsformulier

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

Tijdschema * [ SED ]

Termijn voor kennisgeving *

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

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

R015 - Verzoek om kennisgeving Artikel 77 van Verordening (EG) nr. 987/2009

R015 - Verzoek om kennisgeving
Artikel 77 van Verordening (EG) nr. 987/2009