{
  "url": "https://openlegislation.uk/eu-decision-1994-604/attachment-1/division",
  "json_url": "https://openlegislation.uk/eu-decision-1994-604/attachment-1/division.json",
  "legislation": "eudn/1994/604",
  "legislation_title": "Decision No 153 of 7 October 1993 on the model forms necessary for the application of Council Regulation No (EEC) 1408/71 and (EEC) No 574/72 (E 001, E 103 to E 127) (Text with EEA relevance) (94/604/EC)",
  "legislation_url": "https://openlegislation.uk/eu-decision-1994-604",
  "path": "attachment/1/division",
  "kind": "division",
  "number": null,
  "heading": "List of forms",
  "text": "E 001\n—\nRequest for information, communication of information, request for forms, reminder on an employed person a self-employed person, a frontier worker, a pensioner, an unemployed person, a dependant\nE 103\n—\nExercising the right of option\nE 104\n—\nCertificate concerning the aggregation of periods of insurance, employment or residence\nE 105\n—\nCertificate concerning the members of the family of an employed person or self-employed person to be taken into consideration for the calculation of cash benefits in the case of incapacity for work\nE 106\n—\nCertificate of entitlement to sickness and maternity insurance benefits in kind for persons residing in a country other than the competent country\nE 107\n—\nApplication for a certificate of entitlement to benefits in kind\nE 108\n—\nNotification of suspension or withdrawal of the right to sickness and maternity insurance benefits in kind\nE 109\n—\nCertificate for the registration of members of the employed or self-employed person's family and the updating of lists\nE 110\n—\nCertificate concerning employed persons in international transport\nE 111\n—\nCertificate of entitlement to benefits in kind during a stay in a Member State\nE 112\n—\nCertificate concerning the retention of the right to sickness or maternity benefits currently being provided\nE 113\n—\nHospitalization: notification of entering and leaving hospital\nE 114\n—\nGranting of major benefits in kind\nE 115\n—\nClaim for cash benefits for incapacity for work\nE 116\n—\nMedical report relating to incapacity for work (sickness, maternity, accident at work, occupational disease)\nE 117\n—\nGranting of cash benefits in the case of maternity and incapacity for work\nE 118\n—\nNotification of non-recognition or of end of incapacity for work\nE 119\n—\nCertificate concerning the entitlement of unemployed persons and the members of their family to sickness and maternity insurance benefits\nE 120\n—\nCertificate of entitlement to benefits in kind for pension claimants and members of their family\nE 121\n—\nCertificate for the registration of pensioners and the updating of lists\nE 122\n—\nCertificate for the granting of benefits in kind to members of the family of pensioners\nE 123\n—\nCertificate of entitlement to benefits in kind under insurance against accidents at work and occupational diseases\nE 124\n—\nClaim for death grant\nE 125\n—\nIndividual record of actual expenditure\nE 126\n—\nRates for refund of benefits in kind\nE 127\n—\nIndividual record of monthly lump-sum payments",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/1994/604/attachment/1/division",
    "retrieved_at": "2026-11-01T15:19:32.103534+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}