CELEX: 31980D1011
Language: en
Date: 1980-02-28 00:00:00
Title: ADMINISTRATIVE COMMISSION OF THE EUROPEAN COMMUNITIES ON SOCIAL SECURITY FOR MIGRANT WORKERS 80/1011/EEC: DECISION NO 112 OF 28 FEBRUARY 1980 ON THE MODEL FORMS NECESSARY FOR THE APPLICATION OF COUNCIL REGULATIONS ( EEC ) NO 1408/71 AND ( EEC ) NO 574/72 ( E 001; E 101-127; E 201-215; E 301-303; E 401-411 )

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31980D1011

ADMINISTRATIVE COMMISSION OF THE EUROPEAN COMMUNITIES ON SOCIAL SECURITY FOR MIGRANT WORKERS 80/1011/EEC: DECISION NO 112 OF 28 FEBRUARY 1980 ON THE MODEL FORMS NECESSARY FOR THE APPLICATION OF COUNCIL REGULATIONS ( EEC ) NO 1408/71 AND ( EEC ) NO 574/72 ( E 001; E 101-127; E 201-215; E 301-303; E 401-411 )  

Official Journal L 313 , 22/11/1980 P. 0001 - 0004

++++DECISION N112  OF 28 FEBRUARY 1980  ON THE MODEL FORMS NECESSARY FOR THE APPLICATION OF COUNCIL REGULATIONS ( EEC ) N 1408/71 AND ( EEC ) N 574/72 ( E 001 ; E 101 _ 127 ; E 201 _ 215 ; E 301 _ 303 ; E 401 _ 411 )   ( 80/1011/EEC )  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 APPLICATION OF SOCIAL SECURITY SCHEMES TO EMPLOYED PERSONS AND THEIR FAMILIES MOVING WITHIN THE COMMUNITY , UNDER WHICH IT IS THE DUTY OF THE ADMINISTRATIVE COMMISSION TO DEAL WITH ALL ADMINISTRATIVE QUESTIONS ARISING FROM REGULATION ( EEC ) N 1408/71 AND SUBSEQUENT REGULATIONS ,  HAVING REGARD TO ARTICLE 2 ( 1 ) OF COUNCIL REGULATION ( EEC ) N 574/72 OF 21 MARCH 1972 FIXING THE PROCEDURE FOR IMPLEMENTING REGULATION ( EEC ) N 1408/71 , UNDER WHICH IT IS THE DUTY OF THE ADMINISTRATIVE COMMISSION TO DRAW UP MODELS OF CERTIFICATES , CERTIFIED STATEMENTS , DECLARATIONS , APPLICATIONS AND OTHER DOCUMENTS NECESSARY FOR THE APPLICATION OF THE REGULATIONS ,  HAVING REGARD TO DECISIONS N 72 , N 88 , N 107 AND N 108 LAYING DOWN AND AMENDING THE MODEL FORMS NECESSARY FOR THE APPLICATION OF COUCNIL REGULATIONS ( EEC ) N 1408 / 71 AND ( EEC ) N 574 / 72 ,  WHEREAS VARIOUS AMENDMENTS HAVE ALREADY BEEN ADOPTED AND OTHERS ARE NECESSARY IN ORDER TO SIMPLIFY THE LAYOUT AND UTILIZATION OF THE FORMS , STANDARDIZE COMMON ELEMENTS AND ECONOMIZE ON THE COMPILATION OF THE FORMS AND ON INVENTORY CONTROL ;  WHEREAS IT IS DESIRABLE TO CREATE THREE NEW FORMS AND TO REPUBLISH THE MODEL FORMS ,  HAS DECIDED AS FOLLOWS :  1 . THE MODEL FORMS PRINTED IN DECISIONS N 88 , N 107 AND N 108 SHALL BE REPLACED BY THE MODELS APPENDED HERETO .  2 . EACH FORM WILL BE AVAILABLE IN THE OFFICIAL LANGUAGES OF THE COMMUNITY AND LAID OUT IN SUCH A MANNER THAT THE DIFFERENT VERSIONS ARE PERFECTLY SUPERPOSABLE , THEREBY MAKING IT POSSIBLE FOR EACH PERSON OR BODY TO WHICH A FORM IS ADDRESSED ( PERSONS ENTITLED TO CLAIM , INSTITUTION , EMPLOYER , ETC . ) TO RECEIVE THE FORM PRINTED IN THEIR OWN LANGUAGE .  3 . THE DETERMINATION OF THE LANGUAGE IN WHICH FORMS SHOULD BE ISSUED SHALL BE SETTLED BY A RECOMMENDATION OF THE ADMINISTRATIVE COMMISSION .  4 . THIS DECISION SHALL APPLY FROM THE FIRST DAY OF THE MONTH FOLLOWING ITS PUBLICATION IN THE OFFICIAL JOURNAL OF THE EUROPEAN COMMUNITIES , ALTHOUGH THE MODEL FORMS PRINTED IN DECISIONS NO 88 , NO 107 AND NO 108 MAY BE USED UNTIL STOCKS ARE EXHAUSTED .  THE CHAIRMAN OF THE ADMINISTRATIVE COMMISSION  S . BOVA  LIST OF FORMS  E 001 _ REQUEST FOR INFORMATION , COMMUNICATION OF INFORMATION , REQUEST FOR FORMS , REMINDER , ON A WORKER , A FRONTIER WORKER , A PENSIONER , AN UNEMPLOYED PERSON , A DEPENDANT  E 101 _ CERTIFICATE CONCERNING THE APPLICABLE LEGISLATION  E 102 _ EXTENSION OF TERM OF POSTING  E 103 _ EXERCISING THE RIGHT OF OPTION  E 104 _ CERTIFICATE CONCERNING THE AGGREGATION OF PERIODS OF INSURANCE , EMPLOYMENT OR RESIDENCE  E 105 _ CERTIFICATE CONCERNING THE MEMBERS OF THE WORKERS'S FAMILY TO BE TAKEN INTO CONSIDERATION FOR THE CALCULATION OF CASH BENEFITS IN THE CASE OF INCAPACITY FOR WORK  E 106 _ CERTIFICATE OF ENTITLEMENT TO SICKNESS AND MATERNITY INSURANCE BENEFITS IN KIND FOR PERSONS RESIDING IN A COUNTRY OTHER THAN THE COMPETENT COUNTRY  E 107 _ APPLICATION FOR A CERTIFICATE OF ENTITLEMENT TO BENEFITS IN KIND  E 108 _ NOTIFICATION OF SUSPENSION OR WITHDRAWAL OF THE RIGHT TO SICKNESS AND MATERNITY INSURANCE BENEFITS IN KIND  E 109 _ CERTIFICATE FOR THE REGISTRATION OF MEMBERS OF THE WORKER'S FAMILY AND THE UPDATING OF LISTS  E 110 _ CERTIFICATE CONCERNING WORKERS IN INTERNATIONAL TRANSPORT  E 111 _ CERTIFICATE OF ENTITLEMENT TO BENEFITS IN KIND DURING A STAY IN A MEMBER STATE  E 112 _ CERTIFICATE CONCERNING THE RETENTION OF THE RIGHT TO SICKNESS OR MATERNITY BENEFITS CURRENTLY BEING PROVIDED  E 113 _ HOSPITALIZATION : NOTIFICATION OF ENTERING AND LEAVING HOSPITAL  E 114 _ GRANT OF PROSTHESES , MAJOR APPLIANCES , ETC .  E 115 _ CLAIM FOR CASH BENEFITS FOR INCAPACITY FOR WORK  E 116 _ MEDICAL REPORT RELATING TO INCAPACITY FOR WORK ( SICKNESS , MATERNITY , ACCIDENT AT WORK , OCCUPATIONAL DISEASE )  E 117 _ GRANTING OF CASH BENEFITS IN THE CASE OF INCAPACITY FOR WORK  E 118 _ NOTIFICATION OF NON-RECOGNITION OR OF END OF INCAPACITY FOR WORK  E 119 _ CERTIFICATE CONCERNING THE ENTITLEMENT OF UNEMPLOYED PERSONS AND THE MEMBERS OF THEIR FAMILY TO SICKNESS AND MATERNITY INSURANCE BENEFITS  E 120 _ CERTIFICATE OF ENTITLEMENT TO BENEFITS IN KIND FOR PENSION CLAIMANTS AND MEMBERS OF THEIR FAMILY  E 121 _ CERTIFICATE FOR THE REGISTRATION OF PENSIONERS AND THE UPDATING OF LISTS  E 122 _ CERTIFICATE FOR THE GRANTING OF BENEFITS IN KIND TO MEMBERS OF THE FAMILY OF PENSIONERS  E 123 _ CERTIFICATE OF ENTITLEMENT TO BENEFITS IN KIND UNDER INSURANCE AGAINST ACCIDENTS AT WORK AND OCCUPATIONAL DISEASES  E 124 _ CLAIM FOR DEATH GRANT  E 125 _ INDIVIDUAL RECORD OF ACTUAL EXPENDITURE  E 126 _ RATES FOR REFUND OF BENEFITS IN KIND  E 127 _ INDIVIDUAL RECORD OF MONTHLY LUMP-SUM PAYMENTS  E 201 _ CERTIFICATE CONCERNING THE AGGREGATION OF PERIODS OF INSURANCE OR PERIODS OF RESIDENCE  E 202 _ INVESTIGATION OF A CLAIM FOR AN OLD-AGE PENSION  E 203 _ INVESTIGATION OF A CLAIM FOR A SURVIVOR'S PENSION  E 204 _ INVESTIGATION OF A CLAIM FOR AN INVALIDITY PENSION  E 205 _ CERTIFICATE CONCERNING INSURANCE HISTORY IN BELGIUM   _ CERTIFICATE CONCERNING PERIODS OF INSURANCE AND PERIODS OF RESIDENCE IN DENMARK   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN GERMANY   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN FRANCE   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN IRELAND   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN ITALY   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN LUXEMBOURG   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN THE NETHERLANDS   _ CERTIFICATE CONCERNING INSURANCE HISTORY IN THE UNITED KINGDOM .  E 206 _ CERTIFICATE CONCERNING PERIODS OF EMPLOYMENT IN MINES AND SIMILAR UNDERTAKINGS  E 207 _ INFORMATION CONCERNING THE WORKER'S INSURANCE HISTORY  E 208 _ DETERMINATION OF RIGHTS TO PENSION  E 209 _ DETERMINATION OF PENSION AMOUNTS FOR  E 210 _ NOTIFICATION OF DECISION CONCERNING A CLAIM FOR PENSION  E 211 _ SUMMARY OF DECISIONS  E 212 _ APPEALS AND PERIODS ALLOWED FOR APPEALS  E 213 _ DETAILED MEDICAL REPORT  E 214 _ MEDICAL REPORT CONCERNING ASSESSMENT OF FUNCTIONAL ABILITIES AND LIMITATIONS  E 215 _ ADMINISTRATIVE REPORT ON THE POSITION OF A PENSIONER  E 301 _ CERTIFICATE CONCERNING THE PERIODS TO BE TAKEN INTO ACCOUNT FOR THE GRANTING OF UNEMPLOYMENT BENEFITS  E 302 _ CERTIFICATE RELATING TO MEMBERS OF THE FAMILY OF AN UNEMPLOYED PERSON WHO MUST BE TAKEN INTO ACCOUNT FOR THE CALCULATION OF BENEFITS  E 303 _ CERTIFICATE CONCERNING RETENTION OF THE RIGHT TO UNEMPLOYMENT BENEFITS  E 401 _ CERTIFICATE CONCERNING THE COMPOSITION OF A FAMILY FOR THE PURPOSE OF THE GRANTING OF FAMILY BENEFITS  E 402 _ CERTIFICATE OF CONTINUATION OF STUDIES FOR THE PURPOSE OF THE GRANTING OF FAMILY BENEFITS  E 403 _ CERTIFICATE OF APPRENTICESHIP FOR THE PURPOSE OF THE GRANTING OF FAMILY BENEFITS  E 404 _ MEDICAL CERTIFICATE FOR THE PURPOSE OF THE GRANTING OF FAMILY BENEFITS  E 405 _ PAYMENT OF FAMILY BENEFITS OR FAMILY ALLOWANCES IN THE CASE OF SUCCESSIVE EMPLOYMENT IN SEVERAL MEMBER STATES , BETWEEN THE DATES ON WHICH PAYMENT IS DUE ACCORDING TO THE LEGISLATION OF THESE STATES  E 406 _ CLAIM FOR FAMILY ALLOWANCES TO BE SUBMITTED BY A WORKER WHO IS SUBJECT TO FRENCH LEGISLATION AND WHOSE FAMILY RESIDES IN A MEMBER STATE OTHER THAN FRANCE  E 407 _ CERTIFICATE OF PERIODS OF EMPLOYMENT IN FRANCE , OR PERIODS OF UNEMPLOYMENT IN FRANCE FOR WHICH BENEFITS WERE PAID , FOR THE PURPOSE OF GRANTING FAMILY ALLOWANCES TO MEMBERS OF THE FAMILY OF A WORKER OR UNEMPLOYED PERSON WHO RESIDE IN A MEMBER STATE OTHER THAN FRANCE  E 408 _ REQUEST FOR INFORMATION  E 409 _ VERIFICATION OF THE DECLARATION OF LACK OF ENTITLEMENT TO FAMILY ALLOWANCES BY VIRTUE OF AN OCCUPATION PURSUED IN THE COUNTRY OF RESIDENCE OF THE FAMILY  E 410 _ NOTIFICATION OF CANCELLATION OF ENTITLEMENT TO FAMILY ALLOWANCES  E 411 _ REQUEST FOR INFORMATION ON ENTITLEMENT TO FAMILY BENEFITS ( FAMILY ALLOWANCES ) IN THE MEMBER STATE OF RESIDENCE OF THE MEMBERS OF THE FAMILY