2003/251/EC: Decision No 187 of 27 June 2002 on model forms necessary for the application of Council Regulations (EEC) No 1408/71 and (EEC) No 574/72 (E 111 and E 111B) (Text with EEA relevance)
Date: 2002-06-27
Institutions: Administrative Commission on Social Security for Migrant Workers, European Commission
Subjects: form, migrant worker, self-employment, social security, social-security benefit, wage earner

L 93/40

EN

Official Journal of the European Union

10.4.2003

ADMINISTRATIVE COMMISSION OF THE EUROPEAN COMMUNITIES ON SOCIAL SECURITY
FOR MIGRANT WORKERS

on model forms necessary for the application of Council Regulations (EEC) No 1408/71 and (EEC)
No 574/72 (E 111 and E 111B)

DECISION No 187

of 27 June 2002

(Text with EEA relevance)

(2003/251/EC)

THE ADMINISTRATIVE COMMISSION OF THE EUROPEAN COMMUNITIES ON SOCIAL SECURITY FOR MIGRANT
WORKERS,

Having regard to Article 81(a) of Council Regulation (EEC) No 1408/71 of 14 June 1971 on the applica-
tion of social security schemes to employed persons, to self-employed persons and to members of their
family moving within the Community (1), under which it is the duty of the Administrative Commission to
deal with all administrative matters arising from Regulation (EEC) No 1408/71 and subsequent regulations,

Having regard to Article 2(1) of Council Regulation (EEC) No 574/72 (2) under which it is the duty of the
Administrative Commission to draw up models of certificates, certified statements, declarations, applica-
tions and other documents necessary for the application of the Regulations,

Having regard to Decision No 179 of 18 April 2000 on the model forms necessary for the application of
Council Regulations (EEC) No 1408/71 and (EEC) No 574/72 (E 111, E 111B, E 113 to E 118 and E 125
to E 127) (3),

Whereas:

(1)

(2)

(3)

(4)

(5)

It is necessary to amend form E 111 and E 111B in order to make things clearer for insured persons
and the members of their family with regard to benefits in the event of pre-existing illnesses.

The Agreement on the European Economic Area of 2 May 1992, supplemented by the Protocol of
17 March 1993, Annex VI, implements Regulations (EEC) No 1408/71 and (EEC) No 574/72 within
the European Economic Area.

By Decision of the EEA Joint Committee, the model forms necessary for the application of Regula-
tions (EEC) No 1408/71 and (EEC) No 574/72 will be adapted and used within the European
Economic Area.

For practical reasons,
European Economic Area.

identical

forms should be used within the Community and within the

The language in which the forms should be issued is the subject of Recommendation No 15 of the
Administrative Commission,

HAS DECIDED AS FOLLOWS:

1. The model forms E 111 and E 111B reproduced in Decision No 179 shall be replaced by the models

appended hereto.

2. The competent authorities of the Member States shall make available to the parties concerned (rightful

claimants, institutions, employers, etc.) the forms according to the models appended hereto.

(1) OJ L 149, 5.7.1971, p. 2.
(2) OJ L 74, 27.3.1972, p. 1.
(3) OJ L 54, 25.2.2002, p. 1.

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Official Journal of the European Union

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3. These forms shall be available in the official languages of the Community and laid out in such manner
that the different versions are perfectly superposable, thereby making it possible for all addressees
(rightful claimants, institutions, employers, etc.) to receive the form printed in their own language.

4. This Decision shall be applicable from the first day of the month following its publication in the Official

Journal of the European Union.

The Chairman of the Administrative Commission

C. GARCÍA DE CORTÁZAR Y NEBREDA