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Updated : 29/06/2012

Useful forms for social security rights

Former benefits (or social security) forms

A major reform of European social security law entered into force in May 2010. This reform abolished E forms, which had been used for years by people moving within the EU.

New simplified forms have replaced E forms but in practice, some national authorities are still working with E-forms for a transitional period.

Form

Purpose

Issuing authority and use

E 101

Statement of applicable legislation. Useful to prove you pay social contributions in another EU country — if you are posted abroad or work in several countries at the same time.

Contact your national liaison office to find out which authority can issue this document.

E 102

Authorisation to prolong posted work. Useful when the work to be done will take more than 12 months.

Contact your national liaison office to find out which authority can issue this document in the country where you usually work.

E 104

Record of total periods of employment, contributions and residence in the same country. Gives migrant and cross-border workers access to health insurance in a country which requires records of working periods.

Health insurance authority.

Submit it to a health insurance authority in the country where you work.

E 106

Certificate of entitlement to healthcare if you don't live in the country where you are insured. Useful for cross-border workers, civil servants and their dependants.

Health insurance authority.

Submit it to any health insurance authority in the country where you live.

E 109

Certificate of entitlement to healthcare for dependants not living in the country where you work. Useful for migrant workers whose family still lives in their country of origin.

Health insurance authority.

Your dependants must submit it to a health insurance authority in the country where they live

E 112

Authorisation to obtain a planned health treatment in another EU or EFTA country. You should be treated in the same way as residents of that country - you may have to pay a percentage of the costs up front.

Health insurance authority.

Submit it to a health insurance authority in the country where you go for treatment.

E 116

Medical report relating to incapacity to work (sick leave or maternity leave).

Issued by a doctor from the health insurance authority in the country where you work, and sent to your health insurance authority.

E 121

Certificate of pensioner's entitlement to healthcare if you live outside the country where you are insured.

Health insurance authority.

Submit it to any health insurance authority in the country where you live.

E 301

Statement of insurance periods to be taken into account when calculating unemployment benefit.

Public employment service in the last country(ies) where you worked.

Submit it to the national employment service in the country where you wish to apply for benefit.

E 303

Authorisation to export unemployment benefits.

National employment service in the country where you became unemployed.

Submit it to the public employment service in the country where you are looking for a job.

E 303/5

Statement of benefits received abroad (part of form E 303). Contains important information on your rights/ obligations when exporting your unemployment benefit. Allows the national employment services in the country where you are looking for a job to state how much benefit you received from them, if you return to the country where you became unemployed.

National employment service in the country where you became unemployed.

Submit it to the public employment service in the country where you are looking for a job.

E 401

Statement of the composition of your family for the calculation of family benefits by the competent country. Useful for migrant workers whose family still lives in their country of origin, or for cross-border workers.

Issued by the country where your family lives.

Submit it to the family benefits authorities in the country where you work.

Footnote

In this case, the 27 EU member states + Iceland, Liechtenstein, Norway and Switzerland

Retour au texte en cours.