U002 Form PDF Details

The U002 form serves as a cornerstone in the administration of social security across diverse jurisdictions, facilitating the coordination of social security systems within a structured legal framework outlined in Articles 61 of Regulation 883/2004 and Article 54(1) of Regulation 987/2009. It is meticulously designed to record and communicate essential information about individuals' insurance records, encompassing various aspects such as employment history, periods of insurance and non-insurance, and the nuances of employments like the nature, earnings, and hours worked. The form operates as a communication bridge between sending and receiving institutions across countries, requiring detailed entries including institution names, addresses, and contact details, alongside personal information of the concerned individual like family names, birth details, and nationality. Moreover, it delves into periods treated as insurance, like education, maternity, sickness, and military service, offering a comprehensive insight into the insured person's life stages that impact their social security status. Additionally, reasons for employment termination and rights to benefits or compensation are pivotal sections, underscoring the form’s significance in managing transitions in employment or self-employment status. Employers' information, type of employment, and periods of employment or self-employment, whether insured or not, further enrich the form's utility in ensuring accurate and fair social security coordination. The U002 form is pivotal for the accurate processing and management of individuals' social security rights across borders, ensuring that every phase of their employment history is accounted for in the pursuit of equitable social security benefits.

QuestionAnswer
Form NameU002 Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other names002 35 026e, u002 pdf, opa6060 002, sed u002

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U002

The Administrative Commission

For the Coordination

of Social Security Systems

Insurance Record

Article 61 of 883/2004; Article 54(1) of 987/2009

Number of attachments....................................................................

Date sent....................................................................

Sending Institution:

Country code....................................................................

Institution code....................................................................

Institution Name....................................................................

Street....................................................................

Town....................................................................

Postal code....................................................................

Region....................................................................

Country....................................................................

Phone....................................................................

Fax....................................................................

Email....................................................................

Receiving Institution:

Country code....................................................................

Institution code....................................................................

Institution Name....................................................................

Street....................................................................

Town....................................................................

Postal code....................................................................

Region....................................................................

Country....................................................................

Phone....................................................................

Fax....................................................................

Email....................................................................

1. Case numbers

1.1 Case number sending institution1....................................................................

1.2 Case number receiving institution2....................................................................

2. Person

2.1 Person3

2.1.1 Family name....................................................................

2.1.2 Forenames....................................................................

2.1.3 Birth date....................................................................

2.1.4 Sex

Female

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Male

Unknown

2.1.5 Family name at birth....................................................................

2.1.6 Forenames at birth....................................................................

2.1.7 If you have the Personal Identification Number of the person, please fill in the following: Identification of the person with Personal Identification Number

2.1.7.1Personal identification number in the sending institution

2.1.7.2Personal identification number in the receiving institution

....................................................................

....................................................................

2.1.8If you do not have the Personal Identification Number of the person, please fill in the following: Identification of the person, without Personal Identification Number

2.1.8.1 Place of birth4....................................................................

2.1.8.2 Father family name at birth5....................................................................

2.1.8.3 Mother family name at birth6....................................................................

2.1.8.4 Forename of father....................................................................

2.1.8.5 Forename of mother....................................................................

2.2 Additional information on the person

2.2.1 Nationality7....................................................................

3. Reference period

3.1 Start date....................................................................

3.2 End date....................................................................

4. Period of insured employment or self-employment

4.1 Period

4.1.1 Start date....................................................................

4.1.2 End date....................................................................

4.2 Type

Employment

Self-employment

4.3 Employer name8....................................................................

4.4 Employer address9

4.4.1 Street....................................................................

4.4.2 Town....................................................................

4.4.3 Postal code....................................................................

4.4.4 Region10....................................................................

4.4.5 Country....................................................................

4.5 Employment/self-employment nature....................................................................

5. Period of non-insured employment or self-employment11

5.1 Period

5.1.1 Start date....................................................................

5.1.2 End date....................................................................

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5.2 Type

Not insured employment

Not insured self-employment

Please fill in the following if "Type" is "Not insured self-employment" :

5.3 Period of self-employment earning/hours

5.3.1 Period

5.3.1.1 Start date....................................................................

5.3.1.2 End date....................................................................

5.3.2 Gross earnings12

5.3.2.1 Amount....................................................................

5.3.2.2 Currency13....................................................................

5.3.3 Number of hours14....................................................................

5.4 Earning/hours15

5.4.1 Period

5.4.1.1 Start date....................................................................

5.4.1.2 End date....................................................................

5.4.2 Gross earnings12

5.4.2.1 Amount....................................................................

5.4.2.2 Currency13....................................................................

5.4.3 Number of hours14....................................................................

5.5 Employer name16....................................................................

5.6 Employer address17

5.6.1 Street....................................................................

5.6.2 Town....................................................................

5.6.3 Postal code....................................................................

5.6.4 Region10....................................................................

5.6.5 Country....................................................................

5.7 Employment/self-employment nature....................................................................

5.8 Earning/hours....................................................................

6.Elements for starting date for the last employment/self-employment18

6.1 Amount for wages 6.1.1 Amount for wages19

6.1.1.1 Amount....................................................................

6.1.1.2 Currency13....................................................................

6.1.2 Received for period until....................................................................

6.2 Amount for compensation20

6.2.1 Amount....................................................................

6.2.2 Currency13....................................................................

6.3 Compensation for vacation not taken 6.3.1 Annual leave21

6.3.1.1 Amount....................................................................

6.3.1.2 Currency13....................................................................

6.3.2 Days22....................................................................

6.4 Waived right23

6.4.1 Person has waived right24

Yes

No

Please fill in the following if "Person has waived right" is "Yes" :

6.4.2 Reason....................................................................

U002

6.5 Other benefits25....................................................................

7.Reason for termination of the last employment/self-employment 7.1 Termination reason of employment

Dismissal by the employer

Resignation by the employee

Expiry of contract

Termination of contract by mutual consent

Dismissed for disciplinary reason

Redundancy

Other

Please fill in the following if "Termination reason of employment" is "Other" :

7.2 Other termination....................................................................

7.3 Termination reason of self-employment ....................................................................

8. Sickness period treated as insurance period

8.1 Start date....................................................................

8.2 End date....................................................................

9. Maternity period treated as insurance period26

9.1 Start date....................................................................

9.2 End date....................................................................

10. Deprivation of liberty period treated as insurance period

10.1 Start date....................................................................

10.2 End date....................................................................

11. Education period treated as insurance period

11.1 Start date....................................................................

11.2 End date....................................................................

12. Military period treated as insurance period27

12.1 Start date....................................................................

12.2 End date....................................................................

13.Other period treated as insurance period 13.1 Period

13.1.1 Start date....................................................................

13.1.2 End date....................................................................

13.2 Type

Period of voluntarily continued insurance

Other period treated as a period of insurance

Compensation for vacation not taken

U002

Please fill in the following if "Type" is "Other period treated as a period of insurance" :

13.3 Other activity....................................................................

Please fill in the following if "Type" is "Compensation for vacation not taken" :

13.4 Vacation not taken

13.4.1 Period

13.4.1.1 Start date....................................................................

13.4.1.2 End date....................................................................

13.4.2 Amount

13.4.2.1 Amount....................................................................

13.4.2.2 Currency13....................................................................

14. Period receiving unemployment benefits28

14.1 Period

14.1.1 Start date....................................................................

14.1.2 End date....................................................................

14.2 Institution code29....................................................................

Signature of the sending institution

 

Date

....................................................................

Signature

Stamp