DA048 – Notification of Contestation Concerning the Occupational Nature of the Accident or Disease
Purpose of the SED:
This SED is a notification of contestation concerning the occupational nature of the accident or disease.
• The institution in the competent Member State may dispute the application of the legislation related to accident at work or occupational disease, which was applied by the Member State of stay or residence;
• Information about the dispute on DA048 shall be sent without delay;
• DA048 can be sent as a consequence of the request send on DA001 by the institution in the member state of residence or stay who asked for an entitlement document (DA002) in case of accident at work or occupational disease;
• DA048 cannot be sent as a contestation of the request of reimbursement claim;
• DA048 allows to give information about the sickness insurance for the person – if this kind of information is available – due to the fact that in the case of a dispute, benefits which were provided according to the regulation are considered as sickness insurance benefits,
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For general remarks applicable to all the AWOD SEDs click here.
Data required:
Specific mandatory field in DA048 (without which SED cannot be send):
• 5. Information about the contestation with following information:
5.1 “Reasons for disputing the application of the legislation of our country relating to accidents at work or occupational diseases” which allows to choose from the available reasons for sending a dispute.
If none of the existing reasons is applicable you can chose “other” and provide details in “other reason” field;
5.3 “Information about the sickness insurance” which although mandatory, if information is not available, allows choosing option “we do not know whether the person is insured in a sickness insurance institution. If the information is available details of the insurance institution must be provided (country code, institution ID, institution name);
5.4 “Expected date final decision” which allows to inform the receiver about the date on which the final decision on DA049 can be expected.
In order to see the content and explanatory notes of SED DA048 please click here .
