DA042 – Medical Certificate or Report Purpose of the SED:
The SED DA042 can be used in two different ways: First, in AW_BUC_07a, by the institution of the Member State of residence or stay in which an accident occurred or an occupational disease was first diagnosed to notify the Competent Institution in the Member State which is responsible for the insured person about the medical certificate that was drawn up in the former Member State; Second, in AW_BUC_07c, as a reply to the `Request of a Detailed Report Accompanied by Medical Certificates’
SED DA044.
Please note that the SED DA042 is used as a “transport device” which allows attaching specific medical certificates or detailed report. Due to the complexity of the medical data it is not possible to impose the obligation on the clerks to rewrite the data from the reports and certificates into the SED itself.
For general remarks applicable to all the AWOD SEDs click here.
Data required:
Person Identification Data
Personal data allows the Counterparty to identify the person in the national data base. If the data are not complete or are incorrect the Counterparty, which received DA042, will not be able to proceed with the case on national level reply. It is important to remember about the special characters which can be used in the family name and forenames, which could make a difference for the person identification.
The DA042 should include the Personal Identification Number (PIN). The PIN is defined as a unique personal identification number issued by a state or organization. Whenever it is possible the number entered should be a number given to the person under a National Registration scheme. Where no National Registration Number is available, a sectorial number (i.e. Social security, Health Registration Number) should be entered.
Information about the relation to the accident at work or occupational disease
Please indicate whether the DA042 is related to an accident at work or an occupational disease. This information might be necessary, particularly when the Member State has two different institutions, one of them in charge of accidents at work and the other one of occupational diseases.
Medical certificate or report
The check box field “Medical certificate or report” is mandatory and the SED cannot be send without it. This field differentiates between the different usages of SED DA042.
If the SED DA042 is used in the AW_BUC_07a the first check box “notification of medical certificate”
should be selected. The drawn up medical certificates have to be attached to the SED DA042.
If the SED DA042 is used in the AW_BUC_07c as a reply to a SED DA044 the second check box
“detailed report and medical certificate related to the permanent consequences of the accident or disease” should be selected. The requested detailed report and medical certificates should be attached to the SED DA042.
Additional information
The list of attached document, i.e. medical report or other documents, or short additional description can be provided in “additional information”.
Please note that medical certificates can also be sent as an attachment to other SEDs (e.g.
`Certification of the right to benefits in kind’ SED DA002 or `Forward claim to competent institution’
SED DA061) in different contexts; this possibility is not limited to DA042.
As the request is individualized the case can concern only one person.
It is possible to add attachments to DA042.
In order to see the content and explanatory notes of SED DA042 please click here.
