S055 - Vloga za denarne dajatve
Člen 21 Uredbe (ES) št. 883/2004 ter člen 27(3), (8) in (10) Uredbe (ES) št. 987/2009
SED API version: 0.16.2 build 2
Model version: 4.2.0
Oseba
*
[ SC ]
Identifikacija osebe
*
[ CC ]
Priimek/priimki
*
[ BDT ]
{{metaSection.familyName.$$error}}
{{metaSection.familyName.$$warning}}
Ime/imena
*
[ BDT ]
{{metaSection.forename.$$error}}
{{metaSection.forename.$$warning}}
Datum rojstva
*
[ BDT ]
{{metaSection.dateBirth.$$error}}
{{metaSection.dateBirth.$$warning}}
Spol
*
{{option.name}}
[ ENUM ]
{{metaSection.sex.$$error}}
{{metaSection.sex.$$warning}}
Priimek/priimki ob rojstvu
[ BDT ]
{{metaSection.familyNameAtBirth.$$error}}
{{metaSection.familyNameAtBirth.$$warning}}
Ime/imena ob rojstvu
[ BDT ]
{{metaSection.forenameAtBirth.$$error}}
{{metaSection.forenameAtBirth.$$warning}}
PIN osebe pri posameznem nosilcu
[ CC ]
Osebna identifikacijska številka/številke
*
[ CC ]
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Osebna identifikacijska številka (PIN)
*
[ BDT ]
{{metaSection.personalIdentificationNumber.$$error}}
{{metaSection.personalIdentificationNumber.$$warning}}
Področje
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.sector.$$error}}
{{metaSection.sector.$$warning}}
Nosilec
[ CC ]
Identifikacijska številka nosilca
*
[ BDT ]
{{metaSection.institutionID.$$error}}
{{metaSection.institutionID.$$warning}}
Ime nosilca
*
[ CDT ]
{{metaSection.institutionName.$$error}}
{{metaSection.institutionName.$$warning}}
Če PIN za posameznega nosilca ni naveden, ga navedite
[ CC ]
Kraj rojstva
[ CC ]
Kraj
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Regija
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Očetov priimek ob rojstvu
[ BDT ]
{{metaSection.fatherFamilyNameAtBirth.$$error}}
{{metaSection.fatherFamilyNameAtBirth.$$warning}}
Očetovo ime
[ BDT ]
{{metaSection.forenameFather.$$error}}
{{metaSection.forenameFather.$$warning}}
Materin priimek ob rojstvu
[ BDT ]
{{metaSection.motherFamilyNameAtBirth.$$error}}
{{metaSection.motherFamilyNameAtBirth.$$warning}}
Materino ime
[ BDT ]
{{metaSection.forenameMother.$$error}}
{{metaSection.forenameMother.$$warning}}
Dodatne informacije o osebi
[ SC ]
Državljanstvo
[ ENUM ]
{{metaSection.nationality.$$error}}
{{metaSection.nationality.$$warning}}
Naslov osebe
[ CC ]
Ulica
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Stavba
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Kraj
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Poštna številka
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Regija
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Potrdilo o nezmožnosti za delo
*
[ SED ]
Navedena oseba je vložila zahtevek za denarne dajatve dne
*
[ BDT ]
{{metaSection.thePersonMentionedAboveAppliedForCashBenefitsOn.$$error}}
{{metaSection.thePersonMentionedAboveAppliedForCashBenefitsOn.$$warning}}
Vrsta dajatve
*
{{option.name}}
[ ENUM ]
{{metaSection.typeBenefit.$$error}}
{{metaSection.typeBenefit.$$warning}}
V prilogi je
*
{{option.name}}
[ ENUM ]
{{metaSection.pleaseFindAttached.$$error}}
{{metaSection.pleaseFindAttached.$$warning}}
Izpolnite naslednje, če je izbrana možnost „V prilogi je“ = „Drug dokument“ :
[ SED ]
Drug dokument
[ CDT ]
{{metaSection.otherDocument.$$error}}
{{metaSection.otherDocument.$$warning}}
V skladu z navedenim dokumentom je oseba nezmožna za delo
*
[ CC ]
Zaključeno obdobje
*
[ CC ]
Odprto obdobje
*
[ CC ]
Datum od
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Datum do
*
[ BDT ]
{{metaSection.endDate.$$error}}
{{metaSection.endDate.$$warning}}
Vrsta odprtega obdobja
*
{{option.name}}
[ ENUM ]
{{metaSection.typeOpenPeriod.$$error}}
{{metaSection.typeOpenPeriod.$$warning}}
Datum od
*
[ BDT ]
{{metaSection.startDate.$$error}}
{{metaSection.startDate.$$warning}}
Rojstvo otroka
[ SED ]
Predvideni datum poroda
[ BDT ]
{{metaSection.expectedDateDelivery.$$error}}
{{metaSection.expectedDateDelivery.$$warning}}
Datum rojstva otroka
[ BDT ]
{{metaSection.dateChildBirth.$$error}}
{{metaSection.dateChildBirth.$$warning}}
Delodajalec
[ CC ]
Ime
*
[ CDT ]
{{metaSection.name.$$error}}
{{metaSection.name.$$warning}}
Identifikacijske številke
[ CC ]
Identifikacijska številka
[ CC ]
Številka
*
[ CDT ]
{{metaSection.number.$$error}}
{{metaSection.number.$$warning}}
Vrsta
*
{{option.name}}
[ ENUM ]
{{metaSection.type.$$error}}
{{metaSection.type.$$warning}}
Naslov
[ CC ]
Ulica
[ CDT ]
{{metaSection.street.$$error}}
{{metaSection.street.$$warning}}
Stavba
[ CDT ]
{{metaSection.buildingName.$$error}}
{{metaSection.buildingName.$$warning}}
Kraj
*
[ CDT ]
{{metaSection.town.$$error}}
{{metaSection.town.$$warning}}
Poštna številka
[ CDT ]
{{metaSection.postalCode.$$error}}
{{metaSection.postalCode.$$warning}}
Regija
[ CDT ]
{{metaSection.region.$$error}}
{{metaSection.region.$$warning}}
Država
*
{{$select.selected[ 'name']}}
[ ENUM ]
{{metaSection.country.$$error}}
{{metaSection.country.$$warning}}
Dodatne informacije
[ SC ]
Dodatne informacije
[ CDT ]
{{metaSection.additionalInformation.$$error}}
{{metaSection.additionalInformation.$$warning}}