decis april applic articl regul eec articl regul eec ec administr commiss european commun social secur migrant worker regard articl council regul eec june applic social secur scheme emploi person emploi person member famili move commun made respons deal administr question aris provis regul eec subsequ regul regard articl council regul eec march term shich draw model certif certifi statement declar applic document applic regul regard council regul eec april amend regul eec aforment regul institut system coordin differ provid regul eec take account characterist special contributori benefit term articl insert regul eec aforment special benefit notwithstand provis articl titl iii regul award exclus legisl member state person refer resid provid benefit list annex iia benefit grant expens institut place resid take account period employ employ resid complet territori member state benefit list point articl aforment regul fact disabl invalid diagnos time territori member state hand benefit award continu paid transition condit set articl regul eec person concern resid transfer resid territori member state compet member state practic reason order facilit administr award benefit make refer mutati mutandi implement provis laid articl regul eec articl articl titl iii regul eec extent effect condit acquisit retent recoveri aforesaid benefit determin amount thereof acquisit aforesaid benefit frequent subject nation legisl question mean test good reason draw form render determin amount incom person concern spous member famili member state case order appli nation legisl institut concern requir contact institut bodi compet matter make provis annex decis list institut respons provid abovement inform acquisit aforement benefit subject complet period employ employ resid likewis draw form render aggreg period provid articl regul eec languag form issu stipul recommend administr commiss final import amount abovement resourc concern provis made determin rate convers currenc decid provis articl regul eec provis articl regul eec appli mutati mutandi respect special contributori benefit mention articl regul award special benefit question subject mean test compet institut condit limit provid legisl administ request institut member state involv matter provid inform amount incom receiv person concern spous member famili member state accord attach model form institut inform request complet form give data access context nation legisl institut member state call provid inform amount incom refer paragraph decis list annex inform request certifi institut receiv form person concern spous member famili submit certifi statement provid person concern resid member state form statement return form compet institut purpos take account incom receiv person concern member state compet institut convert currenc amount institut member state certifi statement rate convers refer articl regul eec rate convers consider applic date calcul revis benefit special benefit question subject complet period employ employ resid compet institut request institut member state inform period complet member state accord attach form inform request certifi institut receiv form person concern submit certifi statement provid resid member state form certifi statement return form compet institut compet author member state provid compet institut concern form refer paragraph decis form offici languag commun laid manner version perfectli superpos make person bodi form address receiv form print languag decis appli dai month public offici journal european commun effect entri forc regul eec chairman administr commiss poul vorr annex paragraph decis belgium ag death pension offic nation de pension rijksdienst voor pensioenen nation pension offic brussel famili benefit offic nation de alloc familial pour travailleur salarié rijksdienst voor kinderbijslag voor werknem nation famili allow offic emploi person brussel invalid benefit ministèr de la prévoyanc social ministeri van sozial voorzorg minist social welfar denmark socialministeriet ministri social affair copenhagen germani liaison bodi concern spain contributori ag pension invalid pension instituto nacion de servicio social nation institut social servic contributori famili benefit direccion provincial del instituto nacion de la seguridad social provinci director nation institut social secur franc amount resourc person year gener rule caiss primair assur maladi du lieu de résidenc local sick insur fund place resid caiss générale de sécurité social du département outr mer de résidenc gener social secur fund oversea depart resid martiniqu guadeloup guyana reunion person year gener rule caiss régional assur maladi region sick insur fund ag branch place resid caiss régional assur vieilless region ag insur fund strasbourg alsac region ba rhin haut rhin mosel caiss national assur vieilless de travailleur salarié nation ag insur fund emploi person pari region caiss générale de sécurité social du département outr mer de résidenc gener social secur fund oversea depart resid martiniqu guadeloup guyana reunion period complet caiss national assur vieilless de travailleur salarié nation ag insur fund emploi person pari greec éaeñõìá áóoeáëssóaaùí ika social insur institut athen ireland ec record section depart social welfar dublin itali istituto nazional della previdenza social nation social welfar institut provinci offic luxembourg fond nation de solidarité nation solidar fund luxembourg netherland social verzekeringsbank social insur bank postbu bh amsterdam amstelveen portug contin centro region de segurança social region social secur centr person concern resid autonom region madeira direcção region de segurança social region director social secur funchal autonom region azor direcção region de segurança social region director social secur angra heroismo unit kingdom oversea benefit director longbenton newcastl tyne ne yx england person resid northern ireland social secur agenc castl court royal avenu belfast df northern ireland gt start graphic gt social secur regulationson page request inform amount incom receiv member state compet member state special contributori benefit reg art reg art request inform institut compet award special contributori benfit wish inform incom accru person concern member state complet copi part forward institut member state mention annex decis receiv institut address amp squar emploi person amp squar pension amp squar scheme emploi person amp squar emploi person amp squar scheme emploi person amp squar surnam forenamesprevi name place birth date birthsexnationalityd address insur pension period respect inform request data profession trade activ pursu member state person name section employ address employ activ treat occup mean decis spous forenamesmaiden place birth date birthsexnationalityd pursu profession trade activ amp squar amp squar address insur member famili spous nameforenamesd offamili rela place ofprofessioninsur birthtionship resid compet institut address refer file stamp date signatur inform complet institut member state compet member state type amount incom period question amount salaryperson name section spous member famili incom deriv professionalperson name section trade activityspous member famili social secur benefit person name section spous member famili movabl assetsperson name section spous member famili fix assetsperson name section spous member famili total amount incom period question institut member state compet member state address refer file stamp date signatur quot instruct complet form block letter write dot line consist page left relev inform note symbol countri part form complet belgium dk denmark germani gr greec spain franc irl ireland itali luxembourg nl netherland portug gb unit kingdom street number post code town countri telephon number case spanish nation state name case portugues nation state name forenam surnam maiden order civil statu ident card passport case portugues district state parish commun case spanish nation number appear nation ident card exist identii card date fail state specifii countri place profession trade activ pursu relationship member famili worker symbol legitim child spain child born wedlock matrimoni child born wedlock matrimoni legitimat child adopt child natur child form complet male worker natur children mention patern worker oblig maintain offici recogn child spous belong worker household grandchildren brother sister person concern household nephew niec degre compet institut greek institut children belong perman household foot worker children foster children relationship grandfath written full child marri divorc widow mention item specifii child father mother purpos greek institut child resid address state section forenam address complet institut mention annex decis annex countri part inform request confirm institut form annex return left blank partial complet certifi statement inform person person concern member famili mention section forenam date birth member famili refer natur benefit question amount incom state deduct social secur contribut tax deduct state net amount deduct contribut tax annex instruct note page form incom receiv period question claimant orspous beneficiari pursuant paid employ amp squar amp squar amp squar amp squar durat profession trade activ period questionfrom total amount gross salari receiv pursuant employ amp squar amp squar amp squar amp squar durat employ period questionfrom natur employ total amount incom receiv emploi activ pursuant substitut incom unemploy sick matern accid work earli retir amp squar amp squar amp squar amp squar durat indemnif period questionfrom type substitut incom total amount substitut incom receiv pursuant pension allow amp squar amp squar amp squar amp squar durat receipt benefit period questionfrom type benefit total amount benefit receiv sourc incom financi incom benefit kind supplementari pension amp squar amp squar amp squar amp squar type incom total amount sourc incom claimant orspous beneficiari properti own claimant beneficiari spous amp squar amp squar amp squar amp squar type properti land hous movabl asset present properti area district properti situat repres land hous claimant beneficiari resid hous lodg owner amp squar amp squar part accomod hire amp squar amp squar present part question properti gift claimant beneficiari spous year amp squar amp squar amp squar amp squar type properti land hous fix asset date gift present properti beneficiari gift address famili relationship donor agricultur land farm claimant beneficiari spous amp squar amp squar amp squar amp squar area farm annex instruct note page form eluk inform financi posit person concern incom work benefit sourc annual amount firm bodi movabl asset sourc actual yield annual capit actual capit fix asset offici regist real incom sourc incom pension inform famili member resid resid person concernedsurnameforenamesd birthavail incom resourc figur year period mention section form inform incom provid unit kingdom repres net figur deduct incom tax insur contribut levi connect work amount account unit kingdom hous benefit council tax benefit inform provid unit kingdom account properti occupi person concern inform provid unit kingdom concern exact amount movabl fix asset receiv institut total amount asset belong person concern amp annex instruct note page form incom receiv period fromtoclaimantspous oror beneficiarycommon law partner pursuant paid employ amp squar amp squar amp squar amp squar durat paid employ period questionfrom total amount salari receiv pursuant employ amp squar amp squar amp squar amp squar durat employ period questionfrom natur employ total amount incom receiv emploi activ period fromto pursuant social benefit retir pension survivor pension sick invalid unemploy accid work famili allow allow handicap person guarante incom elderli person amp squar amp squar amp squar amp squar durat receipt benefit period questionfrom type social benefit total amount social benefit receiv pursuant retir pension survivor pension amp squar amp squar amp squar amp squar durat receipt pension period questionfrom total amount pension incom supplementari pension incom movabl properti benefit kind amp squar amp squar amp squar amp squar type incom total amount incom fix asset claimantspous oror beneficiarycommon law partner properti respect claimant beneficiari spous common law partner owner holder benefici life interest amp squar amp squar amp squar amp squar type legal connect ownership nueproprieté restrict ownership benefici life interest type properti land hous taxabl incom properti area district properti situat claimant beneficiari occupi dwell respect spous common law partner owner holder benefici life interest amp squar amp squar amp squar amp squar taxabl incom dwell occoupi transfer properti claimantspous oror beneficiarycommon law partner properti transfer return payment free charg year claimant beneficiari spous common law partner amp squar amp squar amp squar amp squar type properti land hous movabl asset date transfer properti time transfer claimant beneficiari spous common law partner possess proce transfer properti amp squar amp squar amp squar amp squar natur proce amount involv gt end graphic gt gt start graphic gt social secur regulationsand note page form aggreg period employ employ resid special contributori benefit reg art reg art compet institut complet part form send copi institut member state legisl person concern subject institut complet part return form institut receiv form form drawn request person concern institut issu form complet part give send form person concern part receiv institut address amp squar emploi person amp squar pension amp squar scheme emploi person amp squar emploi amp squar scheme emploi person amp squar surnam forenamesprevi name place birth date birthsexnationalityd address insur pension refer claim submit insur person mention period employ employ resid complet legisl countri compet institut code address stamp date signatur part complet member state compet member state person mention section complet amp squar period employ employ fromto fromto fromto fromto fromto fromto fromto fromto fromto fromto period resid fromto fromto fromto fromto fromto fromto fromto fromto fromto fromto institut complet part address stamp date signatur quot instruct complet form block letter write dot line consist page left relev inform note symbol countri institut complet form belong belgium dk denmark germani gr greec spain franc irl ireland itali luxembourg nl netherland portug gb unit kingdom street number post code town countri telephon number case spanish nation state name case portugues nation state name forenam surnam maiden order civil statu ident card passport case portugues district state parish commun case spanish nation number appear nation ident card exist ident card date fail state complet complet institut refer annex decis part inform confirm form return left blank partial complet certifi statement inform person person concern address address person concern complet period gt end graphic gt