www.rva.be
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Submitted URL: https://cdn.flxml.eu/lt-2188702560-aee0709aff23a5a0ad304c67d9041928273348e2585d9446
Effective URL: https://www.rva.be/contact/contactformulier?utm_source=flexmail&utm_medium=e-mail&utm_campaign=onemnl15122023&utm_c...
Submission: On December 18 via api from BE — Scanned from DE
Effective URL: https://www.rva.be/contact/contactformulier?utm_source=flexmail&utm_medium=e-mail&utm_campaign=onemnl15122023&utm_c...
Submission: On December 18 via api from BE — Scanned from DE
Form analysis 2 forms found in the DOM
Name: form — POST
<form name="form" method="post" id="AX0UlYkeeVi29PQflj6R" class="nl" enctype="multipart/form-data">
<div id="form" class="nl">
<div class="required form-group"><label id="form_profile_label" class="required" for="form_profile">Profiel</label><select id="form_profile" name="form[profile]" required="required" class="choice-select profile col-md-6 form-control" lang="nl">
<option value="" selected="selected">Maak uw keuze...</option>
<option value="certificates">Attest | Duplicaat aanvragen</option>
<option value="citizen">Burger</option>
<option value="employer">Werkgever</option>
</select></div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"citizen"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_themes-citizen_label" class="" for="form_themes-citizen_level_0">Thema</label><select id="form_themes-citizen_level_0" name="form[themes-citizen][level_0]" class="choice-select themes-citizen dynamic-choice-select form-control"
lang="nl">
<option value="" selected="selected">Maak uw keuze...</option>
<option value="citizen_career_break">Loopbaanonderbreking | Tijdskrediet | Ouderschapsverlof | Verlof voor medische bijstand|…</option>
<option value="citizen_unemployment">Werkloosheid | Werkloosheid voor schoolverlaters | SWT | Jeugd- of seniorvakantie</option>
</select></div>
<input type="hidden" id="form_themes-citizen_level_1" name="form[themes-citizen][level_1]">
<div class="form-group" data-rules="[{"field":"[themes-citizen][level_1]","condition":"is","value":"citizen_career_break_already_upload_documents"}]" data-show-hide="show"
data-all-any="all" style="display: none;">
<p>Gelieve het formulier Verklaring van wijziging van gegevens met betrekking tot loopbaanonderbreking / tijdskrediet / thematisch verlof" te uploaden vóór de zone "Bericht".</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-citizen][level_0]","condition":"is","value":"citizen_unemployment"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Voor vragen over de voortgang van uw aanvraag, het bedrag of de uitbetaling van uw toeslagen kunt u contact opnemen met uw uitbetalingsinstelling (HVW of vakbond).</p>
</div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_themes-employer_label" class="" for="form_themes-employer_level_0">Thema</label><select id="form_themes-employer_level_0" name="form[themes-employer][level_0]" class="choice-select themes-employer dynamic-choice-select form-control"
lang="nl">
<option value="" selected="selected">Maak uw keuze...</option>
<option value="employer_career_break">Loopbaanonderbreking | Tijdskrediet</option>
<option value="employer_unemployment">Werkloosheid</option>
<option value="employer_temporary_unemployment">Tijdelijke werkloosheid, economische werkloosheid en weerverlet</option>
</select></div>
<input type="hidden" id="form_themes-employer_level_1" name="form[themes-employer][level_1]">
<div data-rules="[{"field":"[profile]","condition":"is","value":"certificates"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_themes-certificates_label" class="" for="form_themes-certificates_level_0">Thema</label><select id="form_themes-certificates_level_0" name="form[themes-certificates][level_0]"
class="choice-select themes-certificates dynamic-choice-select form-control" lang="nl">
<option value="" selected="selected">Maak uw keuze...</option>
<option value="certificate_career_break">Loopbaanonderbreking | Tijdskrediet</option>
<option value="certificate_unemployment">Werkloosheid (Werkloosheid, SWT (brugpensioen), Tijdelijke werkloosheid)</option>
</select></div>
<input type="hidden" id="form_themes-certificates_level_1" name="form[themes-certificates][level_1]">
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_0]","condition":"is","value":"certificate_career_break"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Voor je belastingaangifte, raadpleeg je e-box. Om het saldo in maanden van je loopbaanonderbreking/tijdskrediet (attest van je werkgever) te weten te komen, raadpleeg je Break@work.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_career_break_to_fill_in"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Gelieve het het aanvraagformulier te downloaden.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_career_break_duplicate_decision"}]" data-show-hide="show"
data-all-any="all" style="display: none;">
<p>Raadpleeg vooraf uw e-box.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_unemployment_to_fill_in"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Gelieve het het aanvraagformulier te downloaden</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_unemployment_attest"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p> </p>
<p>Vermeld de exacte reden en de betreffende periode.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_duplicate_decision"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Vermeld de datum en het onderwerp van de beslissing.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_duplicate_C4"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Vermeld de datum en de naam van de werkgever.</p>
<p> </p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_duplicate_C3.2A"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p>Vermeld de betreffende maand (formaat: 00/0000), het fluo-nummer (formaat: 00000000), evenals de redenen van uw aanvraag.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_duplicate_C3.2A_Construct"}]" data-show-hide="show"
data-all-any="all" style="display: none;">
<p>Vermeld de betreffende maand (formaat: 00/0000), evenals de redenen van uw aanvraag.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_error"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p> </p>
<p>Upload de betreffende kaart en geef de reden van uw verzoek aan.</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_U1"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p> </p>
<p>Upload uw C4-formulier(en).</p>
</div>
<div class="form-group" data-rules="[{"field":"[themes-certificates][level_1]","condition":"is","value":"certificate_U2"}]" data-show-hide="show" data-all-any="all"
style="display: none;">
<p> </p>
<p>Upload het ingevulde en ondertekende <a href="/formulieren-attesten/aanvraag-u2">U2 Aanvraagformulier</a>.</p>
</div>
<div
data-rules="[{"field":"[themes-citizen][level_1]","condition":"is","value":"tid_7235"},{"field":"[themes-citizen][level_1]","condition":"is","value":"tid_7227"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_attestation-reception_label" class="" for="form_attestation-reception">Wil u het attest...</label><select
id="form_attestation-reception" name="form[attestation-reception]" class="choice-select attestation-reception col-md-6 form-control" lang="nl">
<option value="" selected="selected">Selecteer</option>
<option value="ebox">In de e-box (sneller)</option>
<option value="postbox">Met de post (trager)</option>
</select></div>
<div
data-rules="[{"field":"[themes-citizen][level_1]","condition":"is","value":"tid_7235"},{"field":"[themes-citizen][level_1]","condition":"is","value":"tid_7247"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_attestation-reception-address_label" for="form_attestation-reception-address">Uw adres</label><textarea
id="form_attestation-reception-address" name="form[attestation-reception-address]" class="textarea attestation-reception-address col-md-8 form-control" lang="nl" aria-describedby="form_attestation-reception-address_help"></textarea><small
id="form_attestation-reception-address_help" class="form-text text-muted">Om het document per post te ontvangen</small></div>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<hr>
</div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_message_label" for="form_message" class="required">Bericht</label><textarea id="form_message" name="form[message]" required="required"
data-maxlength="4000" class="counter textarea message form-control" lang="nl"></textarea><small aria-hidden="true">Resterende tekens: 4000</small></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="form-group" style="display: none;"><label id="form_attachments_label" data-browse="Bestanden doorbladeren" placeholder="Bijgevoegd(e) bestand(en)" for="form_attachments">Bijgevoegd(e)
bestand(en)</label>
<div class="custom-file"><input type="file" id="form_attachments" name="form[attachments][]" lang="nl"
accept="application/msword,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/vnd.ms-excel,application/vnd.openxmlformats-officedocument.spreadsheetml.sheet,application/vnd.ms-powerpoint,application/vnd.openxmlformats-officedocument.presentationml.presentation,image/jpeg,image/gif,image/png,application/pdf,text/plain"
data-maxfilesize="10000000" class="file attachments col-md-12 custom-file-input" multiple="multiple" aria-describedby="form_attachments_help"><label for="form_attachments" data-browse="Bestanden doorbladeren"
placeholder="Bijgevoegd(e) bestand(en)" class="col-md-12 custom-file-label"></label>
</div>
<ul class="file-list mt-2"></ul>
<small id="form_attachments_help" class="form-text text-muted">Max 10 Mo</small>
</div>
<div class="form-group" data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="any" style="display: none;">
<hr>
</div>
<div class="form-group" data-rules="[{"field":"profile","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" style="display: none;">
<h3>Informatie over het bedrijf</h3>
</div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_company-name_label" for="form_company-name">Bedrijfsnaam</label><input type="text" id="form_company-name" name="form[company-name]" class="text company-name form-control" lang="nl"></div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_KBO_label" for="form_KBO">Ondernemingsnummer</label><input type="text" id="form_KBO" name="form[KBO]" class="company-number KBO col-md-5 form-control" lang="nl" placeholder="xxxxxxxxxx" aria-describedby="form_KBO_help"><small
id="form_KBO_help" class="form-text text-muted">Het ondernemingsnummer (ECB-nummer) bestaat uit 10 cijfers: het BTW-nummer (9 cijfers) voorafgegaan door het cijfer 0 of 1.</small></div>
<div class="form-group" data-rules="[{"field":"[themes-employer][level_0]","condition":"is","value":"employer_temporary_unemployment"}]" data-show-hide="show" data-all-any="any"
style="display: none;">
<p><strong>Adres van de onderneming</strong></p>
<ul>
<li>Hoofdkantoor voor vragen ivm Tijdelijke Werlkoosheid Energie</li>
<li>Exploitatiezetel voor alle andere vragen</li>
</ul>
</div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_company-street-and-number_label" for="form_company-street-and-number">Straat en nummer</label><input type="text" id="form_company-street-and-number" name="form[company-street-and-number]"
class="text company-street-and-number col-md-8 form-control" lang="nl" aria-describedby="form_company-street-and-number_help"><small id="form_company-street-and-number_help" class="form-text text-muted">Adres van de onderneming : Hoofdkantoor
voor vragen ivm Tijdelijke Werlkoosheid Energie - Exploitatiezetel voor alle andere vragen</small></div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_company-postcode_label" for="form_company-postcode">Postcode</label><input type="text" id="form_company-postcode" name="form[company-postcode]" class="text company-postcode col-md-3 form-control" lang="nl"></div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="all" class="required form-group" style="display: none;"><label
id="form_company-municipality_label" for="form_company-municipality">Gemeente</label><input type="text" id="form_company-municipality" name="form[company-municipality]" class="text company-municipality col-md-8 form-control" lang="nl"></div>
<div data-rules="[{"field":"[profile]","condition":"is","value":"employer"}]" data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label
id="form_company-country_label" class="" for="form_company-country">Land</label><select id="form_company-country" name="form[company-country]" class="choice-select company-country col-md-4 form-control" lang="nl">
<option value="" selected="selected"></option>
<option value="be">België</option>
<option value="fr">Frankrijk</option>
<option value="nl">Nederland</option>
<option value="de">Duitsland</option>
<option value="lu">Luxemburg</option>
<option value="other">Ander land</option>
</select></div>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<hr>
</div>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<h3>Contactpersoon</h3>
</div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_title_label" class="required" for="form_title">Aanspreking</label><select id="form_title" name="form[title]" required="required"
class="choice-select title col-md-4 form-control" lang="nl">
<option value="" selected="selected">Selecteer</option>
<option value="male">Mijnheer</option>
<option value="female">Mevrouw</option>
<option value="other">Mx</option>
</select></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_firstname_label" for="form_firstname" class="required">Voornaam</label><input type="text" id="form_firstname" name="form[firstname]"
required="required" class="text firstname col-md-6 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_lastname_label" for="form_lastname" class="required">Naam</label><input type="text" id="form_lastname" name="form[lastname]"
required="required" class="text lastname col-md-6 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_NRN_label" for="form_NRN">Rijksregisternummer</label><input type="text" id="form_NRN" name="form[NRN]"
class="niss-insz NRN col-md-4 form-control" lang="nl" placeholder="xxxxxx.xxx.xx" aria-describedby="form_NRN_help"><small id="form_NRN_help" class="form-text text-muted">Uw rijksregisternummer staat op de achterkant van uw Belgische
identiteitskaart. Voer de cijfers in, zonder spaties of andere leestekens.</small></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_email_first_label" for="form_email_first" class="required">E-mail</label><input type="email" id="form_email_first"
name="form[email][first]" required="required" class="col-md-8 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_email_second_label" for="form_email_second" class="required">Bevestig e-mail</label><input type="email" id="form_email_second"
name="form[email][second]" required="required" class="col-md-8 form-control"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="form-group" style="display: none;"><label id="form_phone_label" for="form_phone">Telefoonnummer / GSM-nummer</label><input type="tel" id="form_phone" name="form[phone]"
class="phone phone col-md-4 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="form-group" style="display: none;"><label id="form_address_label" for="form_address">Adres</label><input type="text" id="form_address" name="form[address]"
class="text address col-md-8 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_postcode_label" for="form_postcode">Postcode</label><input type="text" id="form_postcode" name="form[postcode]"
class="text postcode col-md-3 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_municipality_label" for="form_municipality">Gemeente</label><input type="text" id="form_municipality" name="form[municipality]"
class="text municipality col-md-8 form-control" lang="nl"></div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;"><label id="form_country_label" class="" for="form_country">Land</label><select id="form_country" name="form[country]"
class="choice-select country col-md-8 form-control" lang="nl">
<option value="" selected="selected"></option>
<option value="be">België</option>
<option value="fr">Frankrijk</option>
<option value="nl">Nederland</option>
<option value="de">Duitsland</option>
<option value="lu">Luxemburg</option>
<option value="other">Ander land</option>
</select></div>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<hr>
</div>
<fieldset
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="required form-group" style="display: none;">
<legend id="form_recontact-optin_label" class="col-form-label required">Ik ga ermee akkoord dat de RVA mij via e-mail eventueel kan contacteren om mee te werken aan het verbeteren van zijn dienstverlening (enquêtes, focusgroepen ...). Alle
verstrekte informatie blijft vertrouwelijk.</legend>
<div id="form_recontact-optin" class="choice-radios recontact-optin" lang="nl">
<div class="form-check"> <input type="radio" id="form_recontact-optin_0" name="form[recontact-optin]" required="required" class="form-check-input" value="true">
<label class="form-check-label required" for="form_recontact-optin_0">Ja</label>
</div>
<div class="form-check"> <input type="radio" id="form_recontact-optin_1" name="form[recontact-optin]" required="required" class="form-check-input" value="false" checked="checked">
<label class="form-check-label required" for="form_recontact-optin_1">Nee</label>
</div>
</div>
</fieldset>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<hr>
</div>
<div class="form-group"
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" style="display: none;">
<p>Door dit formulier in te dienen, ga ik ermee akkoord dat de ingevoerde informatie zal worden gebruikt als onderdeel van mijn verzoek en voor statistische doeleinden, in overeenstemming met artikel 89 (EU RGPD).</p>
</div>
<div
data-rules="[{"field":"[profile]","condition":"is","value":"citizen"},{"field":"[profile]","condition":"is","value":"employer"},{"field":"[profile]","condition":"is","value":"certificates"}]"
data-show-hide="show" data-all-any="any" class="form-group" style="display: none;"><button type="submit" id="form_submit" name="form[submit]" class="submit submit btn-primary btn" lang="nl">Verstuur</button></div><input type="hidden"
id="form__token" name="form[_token]" value="eea46114d03e416867141d5.drmFHgCujJw4i0Ho1E_8KGbII5n32i6xecDjJb3Sn2I.ROv3UjDW1tBUwBiSmAPJeB6qRO-7hXrIP7ibTNbhrAVD4c1aYfjt0xXzKg">
</div>
</form>GET /zoeken
<form class="c-header__search" action="/zoeken" method="GET">
<div class="modal-body d-flex justify-content-center">
<div class="input-group"><input name="q" class="form-control" type="text" placeholder="Wat zoek je ?" aria-label="Recherche" aria-describedby="button-addon2">
<div class="input-group-append"><button class="btn btn-link text-decoration-none" type="submit" id="button-addon2"><span class="sr-only">Zoeken</span><i class="fo fo-fleche" aria-hidden="true"></i></button></div>
</div>
</div>
</form>Text Content
Wij gebruiken een aantal cookies die nodig zijn voor het goed functioneren van de website en de applicatie. Deze cookies kunt u niet weigeren. We gebruiken ook optionele cookies, die u kunt instellen. Deze cookies dienen enkel voor de website, voor doeleinden zoals het gebruik van statistieken. Lees er meer over in ons Cookiebeleid. * Essentiële cookies aanvaarden * Alle cookies aanvaarden * Cookies instellen Ga onmiddellijk naar de inhoud * NL * FR * DE Jouw profiel BURGERSWERKGEVERS Andere officiële informatie en diensten: www.belgium.be Jouw profiel BURGERSWERKGEVERS Jouw profiel BURGERSWERKGEVERS De Rijksdienst voor Arbeidsvoorziening * Documentatie * Statistieken * Nieuws * Vacatures * Contact * Nieuw venster * Nieuw venster * Nieuw venster * NL * FR * DE Zoeken Contact Chat 1. Home 2. Contact CONTACT * Verplichte velden ProfielMaak uw keuze...Attest | Duplicaat aanvragenBurgerWerkgever ThemaMaak uw keuze...Loopbaanonderbreking | Tijdskrediet | Ouderschapsverlof | Verlof voor medische bijstand|…Werkloosheid | Werkloosheid voor schoolverlaters | SWT | Jeugd- of seniorvakantie Gelieve het formulier Verklaring van wijziging van gegevens met betrekking tot loopbaanonderbreking / tijdskrediet / thematisch verlof" te uploaden vóór de zone "Bericht". Voor vragen over de voortgang van uw aanvraag, het bedrag of de uitbetaling van uw toeslagen kunt u contact opnemen met uw uitbetalingsinstelling (HVW of vakbond). ThemaMaak uw keuze...Loopbaanonderbreking | TijdskredietWerkloosheidTijdelijke werkloosheid, economische werkloosheid en weerverlet ThemaMaak uw keuze...Loopbaanonderbreking | TijdskredietWerkloosheid (Werkloosheid, SWT (brugpensioen), Tijdelijke werkloosheid) Voor je belastingaangifte, raadpleeg je e-box. Om het saldo in maanden van je loopbaanonderbreking/tijdskrediet (attest van je werkgever) te weten te komen, raadpleeg je Break@work. Gelieve het het aanvraagformulier te downloaden. Raadpleeg vooraf uw e-box. Gelieve het het aanvraagformulier te downloaden Vermeld de exacte reden en de betreffende periode. Vermeld de datum en het onderwerp van de beslissing. Vermeld de datum en de naam van de werkgever. Vermeld de betreffende maand (formaat: 00/0000), het fluo-nummer (formaat: 00000000), evenals de redenen van uw aanvraag. Vermeld de betreffende maand (formaat: 00/0000), evenals de redenen van uw aanvraag. Upload de betreffende kaart en geef de reden van uw verzoek aan. Upload uw C4-formulier(en). Upload het ingevulde en ondertekende U2 Aanvraagformulier. Wil u het attest...SelecteerIn de e-box (sneller)Met de post (trager) Uw adresOm het document per post te ontvangen -------------------------------------------------------------------------------- BerichtResterende tekens: 4000 Bijgevoegd(e) bestand(en) Max 10 Mo -------------------------------------------------------------------------------- INFORMATIE OVER HET BEDRIJF Bedrijfsnaam OndernemingsnummerHet ondernemingsnummer (ECB-nummer) bestaat uit 10 cijfers: het BTW-nummer (9 cijfers) voorafgegaan door het cijfer 0 of 1. Adres van de onderneming * Hoofdkantoor voor vragen ivm Tijdelijke Werlkoosheid Energie * Exploitatiezetel voor alle andere vragen Straat en nummerAdres van de onderneming : Hoofdkantoor voor vragen ivm Tijdelijke Werlkoosheid Energie - Exploitatiezetel voor alle andere vragen Postcode Gemeente LandBelgiëFrankrijkNederlandDuitslandLuxemburgAnder land -------------------------------------------------------------------------------- CONTACTPERSOON AansprekingSelecteerMijnheerMevrouwMx Voornaam Naam RijksregisternummerUw rijksregisternummer staat op de achterkant van uw Belgische identiteitskaart. Voer de cijfers in, zonder spaties of andere leestekens. 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