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DA002 - Certification of the right to benefits in kind Purpose of the SED:

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DA002 - Certification of the right to benefits in kind Purpose of the SED:

The DA002 is a certification from the Competent Institution in the competent Member State with information for the Member State of stay or residence about the insurance situation of the person in question. It is issued for the purpose of benefits in kind related to an accident at work or an occupational disease. It is important to note, that DA002 can be sent either to confirm or to deny a right to benefits in kind.

DA002 can be sent either upon a request of Member State of stay or residence or without such request as a notification.

The DA002 can be cancelled at later stage by sending DA003.

For general remarks applicable to all the AWOD SEDs click here.

Data required:

Person Identification Data

Personal Identification data should be complete and 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 sectored number (i.e. Social security, Health Registration Number) should be entered

This data allows the receiver of DA002 to indicate correctly the person for whom a requests for reimbursement of benefits in kind is send.

Address of the person

The address of the person is not mandatory, however it is required to provide the address in the member state if DA002 is issued for the person who has changed the place of the residence.

Information about the relation to the accident at work or occupational disease

It has to be indicated whether the DA002 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.

The information on the accident at work or the occupational disease should be given as detailed as possible to enable the other institution concerned to identify the scope of the benefits based on the national law to which the person is entitled due to the accident at work or occupational disease.

Information about the employer

This item is dedicated for a large variety of entities or person having a status, rights and obligations defined by law. It can include employers, self-employed, school if the accident concerns the child, and etc.

Information about the employer is optional and can be provided only for the informational purposes.

Information about the entitlement in DA002

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Based on the conducted investigation a decision about the person right should be provided. It is possible either to confirm or to deny person rights to benefits in kind in relation to an accident at work or an occupational disease.

If the person right is confirmed, the period of entitlement has to be specified. It is possible to indicate the closed period with start and end date or open-ended period with only start date if the end date is not known or if the document is issued for unlimited time.

Note that, the start date of entitlement has to be provided even if the DA002 is issued

„For a period laid down in the provisions of the legislation of his state of residence or stay“,

„For a maximum of three months“ or „For an unlimited period“, so that the Counterparty knows when the entitlement starts.

If the person right is denied the information about the sickness insurance should be provided.

If such information is not available it is possible to choose “we do not know..” option.

Additional information

Whenever a Member State, which is sending a DA002, needs to give some additional information which cannot be given in any other parts of the DA002, it is possible to give a description in the additional information field. It could be, for example, information with detailed explanations such as additional details about person entitlement, etc. If more space is needed the explanation could be included as an attachment.

In order to see the content and explanatory notes of the SED DA002 please click here.

Referenzen

ÄHNLICHE DOKUMENTE

This SED is a request from an Institution in the Member State of stay or residence for a document confirming the right of a person to benefits in kind in case of an accident at work

The information on the accident at work or the occupational disease should be given as detailed as possible to enable the other institution concerned to connect the cancellation

The institution of competent Member State should give details about the person who was appointed to inquiry the case of a person who had an accident while travelling to or from work,

• DA049 allows giving information about the sickness insurance for the person – if this kind of information is available – due to the fact that in a case where the accident at work

DA050 is a declaration or notification of the occupational disease to the Member State that is considered to be the competent one (the last one where

Information about lodged appeal must be provided (section 5), including:.  Date of the decision against which an appeal

The Member Stare to which the declaration or notification of the occupational disease was forwarded requests the Member State against which decision to refuse

The Competent Member State may grant or refuse approval of the requested transport, according to the provisions of its legislation allowing or not allowing to pay the cost of