Remitir caso

X007 - Remitir caso

SED API version: 0.16.2 build 2
Model version: 4.2.0

Contexto del caso * [ SC ]

Contexto de la persona * [ CC ]

Contexto del empleador * [ CC ]

Contexto del reembolso * [ SC ]

Apellido(s) *

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Nombre(s) *

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Fecha de nacimiento *

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Sexo *

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Denominación *

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Números de identificación [ CC ]

Número de identificación [ CC ]

Número *

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Tipo *

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Número de identificación

Dirección [ CC ]

Calle

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Nombre del edificio

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Localidad *

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Código postal

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Región

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País *

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Identificación de la solicitud de reembolso *

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Número total de solicitudes de créditos individuales *

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Envío de información * [ SED ]

Participante añadido * [ CC ]

Identificador de la institución *

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Nombre de la institución *

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Participante eliminado * [ CC ]

Identificador de la institución *

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Nombre de la institución *

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Motivo

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Facilite más información si selecciona «99-Otros»

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