S003 - Nárok na vecné dávky dlhodobej starostlivosti
článok 34 nariadenia (ES) č. 883/2004; články 28, 31 nariadenia (ES) č. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Osoba
*
[ SC ]
Identifikácia osoby
*
[ CC ]
Priezvisko(-á)
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Meno(-á)
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Dátum narodenia
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Pohlavie
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Rodné priezvisko(-á)
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Meno(-á)
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
PIN osoby v každej inštitúcii
[ CC ]
Osobné identifikačné číslo(-a)
*
[ CC ]
Štát
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Osobné identifikačné číslo (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Sektor
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.sector.$$error}}
{{metaSection.sector.$$warning}}
Inštitúcia
[ CC ]
Identifikácia inštitúcie
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Názov inštitúcie
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Ak nie je pre každú inštitúciu zadaný PIN, zadajte
[ CC ]
Miesto narodenia
[ CC ]
Mesto
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Okres
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Štát
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Rodné priezvisko otca
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Meno otca
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Rodné priezvisko matky
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Meno matky
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Doplňujúce informácie o osobe
[ SC ]
Štátna príslušnosť
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Adresa osoby
[ SC ]
Adresa
*
[ CC ]
Ulica
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Názov budovy
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Mesto
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Poštové smerovacie číslo
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Okres
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Štát
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Bydlisko v tejto krajine od
[ BDT ]
{{metaSection.residenceInThisCountrySince.$$error}}
{{metaSection.residenceInThisCountrySince.$$warning}}
Informácie o nároku
*
[ SED ]
Nárok alebo nie
*
{{option.name}}
[ ENUM ]
{{metaSection.entitlementOrNot.$$error}}
{{metaSection.entitlementOrNot.$$warning}}
Vyplňte nasledujúce údaje, ak „Nárok alebo nie“ = „02 - Dotknutá osoba má nárok na vecné dávky dlhodobej starostlivosti“:
[ SC ]
Obdobie
[ CC ]
Stanovené obdobie
*
[ CC ]
Otvorené obdobie
*
[ CC ]
Dátum začiatku
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Dátum ukončenia
*
[ BDT ]
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Druh otvoreného obdobia
*
{{option.name}}
[ ENUM ]
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Dátum začiatku
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Suma
*
[ CC ]
Suma
*
[ BDT ]
{{metaSection.amount.$$error}}
{{metaSection.amount.$$warning}}
Mena
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.currency.$$error}}
{{metaSection.currency.$$warning}}
Frekvencia platby
*
{{option.name}}
[ ENUM ]
{{metaSection.frequencyPayment.$$error}}
{{metaSection.frequencyPayment.$$warning}}
Vyplňte nasledujúce údaje, ak „Frekvencia platby“ = „99 - Iné“:
[ SC ]
Iné
[ CDT ]
{{metaSection.other.$$error}}
{{metaSection.other.$$warning}}
Opis dávok
[ CDT ]
{{metaSection.descriptionBenefits.$$error}}
{{metaSection.descriptionBenefits.$$warning}}