Reply to request for recovery/precautionary measures

R018 - Reply to request for recovery/precautionary measures
Articles 78, 80, 81(2), 82, 83 or 84 of Regulation (EC) No 987/2009

SED API version: 0.14.2 PREVIEW build 3
Model version: 4.0.16

1. Local case numbers

1.1. Local Case Number

1.1.1. Country *

1.1.2. Case number *

1.1.3. Institution

1.1.3.1. Institution ID *

1.1.3.2. Institution Name *

1.1.Local Case Number

2. Concerns *

2.1. Concerns *

Please fill in the following if "Concerns" = "Person" :
Please fill in the following if "Concerns" = "Employer" :

3.1. Persons *

3.1.1. Person *

3.1.1.1. Person Identification *

3.1.1.1.1. Family name(s) *

3.1.1.1.2. Forename(s) *

3.1.1.1.3. Date of birth *

3.1.1.1.4. Sex *

3.1.1.1.5. Family name(s) at birth

3.1.1.1.6. Forename(s) at birth

3.1.1.1.7. PIN of the person in each institution

3.1.1.1.7.1. Personal Identification Number(s) *

3.1.1.1.7.1.1. Country *

3.1.1.1.7.1.2. Personal Identification Number (PIN) *

3.1.1.1.7.1.3. Sector

3.1.1.1.7.1.4. Institution

3.1.1.1.7.1.4.1. Institution ID *

3.1.1.1.7.1.4.2. Institution Name *

3.1.1.1.7.1.Personal Identification Number(s)

3.1.1.1.8. If PIN not provided for every institution, please provide

3.1.1.1.8.1. Place of birth

3.1.1.1.8.1.1. Town *

3.1.1.1.8.1.2. Region

3.1.1.1.8.1.3. Country *

3.1.1.1.8.2. Father's family name at birth

3.1.1.1.8.3. Forename of father

3.1.1.1.8.4. Mother's family name at birth

3.1.1.1.8.5. Forename of mother

3.1.1.2. Additional information about a person *

3.1.1.2.1. Status of the person *

3.1.1.2.2. Please fill in the following if "Status of the person" = "Other" :

3.1.1.2.2.1. Other status of the person

3.1.1.2.3. Nationality

3.1.1.2.4. Previous family name(s)

3.1.1.2.4.1. Previous family name(s)

3.1.1.2.4.1.1. Previous family name(s)

3.1.1.2.4.1.Previous family name(s)

3.1.1.2.5. Previous forenames

3.1.1.2.5.1. Previous forename

3.1.1.2.5.1.1. Previous forename

3.1.1.2.5.1.Previous forename

3.1.1.2.6. Current family status

3.1.1.2.7. Date of death

3.1.1.Person

4.1. Employer *

4.1.1. Name *

4.1.2. Identification numbers

4.1.2.1. Identification number

4.1.2.1.1. Number *

4.1.2.1.2. Type *

4.1.2.1.Identification number

4.1.3. Address

4.1.3.1. Street

4.1.3.2. Building Name

4.1.3.3. Town *

4.1.3.4. Postal Code

4.1.3.5. Region

4.1.3.6. Country *

4.2. Responsible person or section

4.2.1. Responsible person or section

4.2.2. Contact Information

4.2.2.1. Telephone Numbers

4.2.2.1.1. Telephone Number

4.2.2.1.1.1. Type

4.2.2.1.1.2. Number *

4.2.2.1.1.Telephone Number

4.2.2.2. Email Addresses

4.2.2.2.1. Email Address

4.2.2.2.1.1. Email Address

4.2.2.2.1.Email Address

4.3. Persons

4.3.1. Person *

4.3.1.1. Person Identification *

4.3.1.1.1. Family name(s) *

4.3.1.1.2. Forename(s) *

4.3.1.1.3. Date of birth *

4.3.1.1.4. Sex *

4.3.1.1.5. Family name(s) at birth

4.3.1.1.6. Forename(s) at birth

4.3.1.1.7. PIN of the person in each institution

4.3.1.1.7.1. Personal Identification Number(s) *

4.3.1.1.7.1.1. Country *

4.3.1.1.7.1.2. Personal Identification Number (PIN) *

4.3.1.1.7.1.3. Sector

4.3.1.1.7.1.4. Institution

4.3.1.1.7.1.4.1. Institution ID *

4.3.1.1.7.1.4.2. Institution Name *

4.3.1.1.7.1.Personal Identification Number(s)

4.3.1.1.8. If PIN not provided for every institution, please provide

4.3.1.1.8.1. Place of birth

4.3.1.1.8.1.1. Town *

4.3.1.1.8.1.2. Region

4.3.1.1.8.1.3. Country *

4.3.1.1.8.2. Father's family name at birth

4.3.1.1.8.3. Forename of father

4.3.1.1.8.4. Mother's family name at birth

4.3.1.1.8.5. Forename of mother

4.3.1.2. Additional information about a person *

4.3.1.2.1. Status of the person *

4.3.1.2.2. Please fill in the following if "Status of the person" = "Other" :

4.3.1.2.2.1. Other status of the person

4.3.1.2.3. Nationality

4.3.1.2.4. Previous family name(s)

4.3.1.2.4.1. Previous family name(s)

4.3.1.2.4.1.1. Previous family name(s)

4.3.1.2.4.1.Previous family name(s)

4.3.1.2.5. Previous forenames

4.3.1.2.5.1. Previous forename

4.3.1.2.5.1.1. Previous forename

4.3.1.2.5.1.Previous forename

4.3.1.2.6. Current family status

4.3.1.2.7. Date of death

4.3.1.Person

5. Claim cannot be recovered or request cannot be accepted

5.1. Request cannot be accepted or claim cannot be recovered because

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5.2. Please fill in the following if "Recovery action is not possible because of" = "Other reason" :

5.2.1. State the reason

6. Debtor details have changed

6.1. Address details changed

6.1.1. The debtor is known but the following addresses details have changed

6.1.1.1. Changed address details

6.1.1.1.1. Type of address *

6.1.1.1.2. Please fill in the following if "Type of address" = "Other" :

6.1.1.1.2.1. Specify "Other" Type

6.1.1.1.3. Address detail *

6.1.1.1.3.1. Street

6.1.1.1.3.2. Building Name

6.1.1.1.3.3. Town *

6.1.1.1.3.4. Postal Code

6.1.1.1.3.5. Region

6.1.1.1.3.6. Country *

6.1.1.1.Changed address details

6.1.2. Recovery

6.2. The debtor is deceased

6.2.1. Deceased person details

6.2.1.1. Person (debtor) deceased on

6.2.1.2. Heirs or will executors details

6.2.1.2.1. Heirs or will executor details

6.2.1.2.1.1. Name of heir or will executor

6.2.1.2.1.2. Address of heir or will executor

6.2.1.2.1.2.1. Street

6.2.1.2.1.2.2. Building Name

6.2.1.2.1.2.3. Town *

6.2.1.2.1.2.4. Postal Code

6.2.1.2.1.2.5. Region

6.2.1.2.1.2.6. Country *

6.2.1.2.1.Heirs or will executor details

6.2.2. No information about heirs/will executors can be given

6.2.2.1. Reason why no information can be given

6.2.3. Recovery

6.3. The debtor concerned is bankrupt or insolvent

6.3.1. Bankruptcy or insolvency details

6.3.1.1. Date of order

6.3.1.2. Date of release

6.3.1.3. Bankruptcy or Liquidation details

6.3.1.3.1. Name of trustee or liquidator

6.3.1.3.2. Address of the trustee or liquidator

6.3.1.3.2.1. Street

6.3.1.3.2.2. Building Name

6.3.1.3.2.3. Town *

6.3.1.3.2.4. Postal Code

6.3.1.3.2.5. Region

6.3.1.3.2.6. Country *

6.3.2. Recovery

7. Other relevant information

7.1. Additional information

8. Please provide the requested additional information

8.1. Requested additional information

9. Payment by instalments

9.1. Agreement to accept the following proposal

9.2. Instalments details

9.2.1. Instalment amount in the currency of the requested institution

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9.2.2. Number of instalments

9.2.3. Start date

9.2.4. End date

9.2.5. Pre-payment

10. Recovery of the claim

10.1. The claim has been

10.2. Please fill in the following if "The claim has been" = "Partially recovered" or "Not recovered"

Recovery Procedure will continue
No further recovery action will be taken

10.2.1. Recovery procedure will continue

10.2.2.1. Recovery Procedure will continue

10.2.2.2. Reason

10.3. Recovery costs

10.3.1. Costs related to recovery will be deducted from the amount recovered

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10.3.2. Amount of costs related to recovery which will be deducted from the recovered amount

10.3.2.1. Amount details

10.3.2.1.1. Amount *

10.3.2.1.2. Currency *

10.3.2.2. Evidence that these costs were incurred is given by the attached documents (Please provide details)

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R018 - Reply to request for recovery/precautionary measures Articles 78, 80, 81(2), 82, 83 or 84 of Regulation (EC) No 987/2009

R018 - Reply to request for recovery/precautionary measures
Articles 78, 80, 81(2), 82, 83 or 84 of Regulation (EC) No 987/2009