Aanvraag crisis-overbruggingsrecht gedwongen sluiting oktober –
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Aanvraag crisis-ov=
erbruggingsrecht gedwongen sluiting oktober – december
Naam
De Coster
Voornaam
Stefan
Rijksregisternummer
73092235103
Postcode
9570
E-mailadres
info@stefandecoster.be
E-mailadres boekhouder (optioneel)
info@stefandecoster.be
Heb je =C3=A9=C3=A9n of meerdere personen, andere d=
an jezelf, ten laste (volgens het ziekenfonds)?
Nee
Bankrekeningnummer (IBAN)
BE36731013600381
Ondernemingsnummer (zonder spaties of punten)
0646865482
Ondernemingsnummers van andere ondernemingen waarin=
je actief bent:
=20
Kruis aan wat voor jou van toepassing is:
Oktober, November, December
Oktober
=20
November
=20
December
=20
Leg uit waarom je activiteit getroffen is:=
Mogen geen eten ter plaatse serveren
Ontvang je een vervangingsinkomen voor de maand okt=
ober (werkloosheidsuitkering, pensioen, arbeidsongeschiktheids- of invalidi=
teitsuitkering,=E2=80=A6)
Nee
Brutobedrag:
=20
Ontvang je een vervangingsinkomen voor de maand nov=
ember (werkloosheidsuitkering, pensioen, arbeidsongeschiktheids- of invalid=
iteitsuitkering,=E2=80=A6)
Nee
Brutobedrag
=20
Ontvang je een vervangingsinkomen voor de maand dec=
ember (werkloosheidsuitkering, pensioen, arbeidsongeschiktheids- of invalid=
iteitsuitkering,=E2=80=A6)
Nee
Brutobedrag
=20
Ik verklaar dat ik dit formulier naar waarheid inge=
vuld heb. Ik ben mij ervan bewust dat mijn verklaring onderhevig is aan con=
troles en dat ik de nodige bewijsstukken over de stopzetting kan voorleggen=
.
true
Ik ben op de hoogte dat elke valse of onvolledige v=
erklaring kan leiden tot de terugvordering van de ten onrechte uitbetaalde =
uitkeringen en tot gerechtelijke vervolging.=C2=A0
true
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