Kennisgeving van betwisting

R019 - Kennisgeving van betwisting
Artikel 81 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

Betreft * [ SC ]

Betreft *

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

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

Betwisting *

[ SED ]

Datum van betwisting *

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

Betwisting ontvangen door *

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

Betwisting met betrekking tot *

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

Reden van de betwisting *

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

Betwist document is bijgevoegd *

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

Gevolg van de betwisting

[ SED ]

Aanvragend orgaan op de hoogte gesteld van de betwisting [ SED ]

Wij, de verzoekende instelling, vragen u

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

Vul in als "Wij, de verzoekende instelling, vragen u" = "Andere" : [ SED ]

Vermeld de vereiste actie

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

Aangeschreven orgaan op de hoogte gesteld van de betwisting [ SED ]

Wij, het aangeschreven orgaan, delen u mede dat

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

Gelieve in te vullen als "Wij, het aangezochte orgaan, delen u mede dat" = "Andere": [ SED ]

Vermeld de ondernomen actie of vraag nadere instructies

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

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

R019 - Kennisgeving van betwisting Artikel 81 van Verordening (EG) nr. 987/2009

R019 - Kennisgeving van betwisting
Artikel 81 van Verordening (EG) nr. 987/2009