Article 1
Annexes I to VII to Regulation (EC) No 4/2009 are replaced by the text in the annex to this Regulation.
Commission Implementing Regulation (EU) 2015/228 of 17 February 2015 replacing Annexes I to VII to Council Regulation (EC) No 4/2009 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations
Commission Implementing Regulation (EU) 2015/228 of 17 February 2015 replacing Annexes I to VII to Council Regulation (EC) No 4/2009 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations
Data as of 2026-07-04 · Compiled from an official source version. Later amendments or repeals may not be reflected; the official text prevails. · Read the official text ↗
Article 2
This Regulation shall enter into force on the twentieth day following its publication in the Official Journal of the European Union .
Supplementary provisions
ANNEXSupplementary provisions
ANNEX ‘ANNEX I EXTRACT FROM A DECISION/COURT SETTLEMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS NOT SUBJECT TO PROCEEDINGS FOR RECOGNITION OR A DECLARATION OF ENFORCEABILITY (Articles 20 and 48 of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 1 ) ) IMPORTANT To be issued by the court of origin To be issued only if the decision or court settlement is enforceable in the Member State of origin Mention only information which is given in the decision or court settlement or of which the court of origin has been made aware 1. NATURE OF THE DOCUMENT Decision Court settlement Date and reference number: … The decision/court settlement is recognised and enforceable in another Member State without any possibility of opposing its recognition and without the need for a declaration of enforceability (Articles 17 and 48 of Regulation (EC) No 4/2009). 2. COURT OF ORIGIN 2.1. Name: … 2.2. Address: 2.2.1. Street and number/PO box: … 2.2.2. Place and postal code: … 2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden 2.3. Telephone/Fax/E-mail: … 3. CLAIMANT(S) ( 2 ) ( 3 ) 3.1. Person A 3.1.1. Surname and given name(s): … 3.1.2. Date (dd/mm/yyyy) and place of birth: … 3.1.3. Identity number or social security number: … 3.1.4. Address: 3.1.4.1. Street and number/PO box: … 3.1.4.2. Place and postal code: … 3.1.4.3. Country: … 3.1.5. Has benefited from 3.1.5.1. legal aid: Yes No 3.1.5.2. exemption from costs and expenses: Yes No 3.1.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 3.2. Person B 3.2.1. Surname and given name(s): … 3.2.2. Date (dd/mm/yyyy) and place of birth: … 3.2.3. Identity number or social security number: … 3.2.4. Address: 3.2.4.1. Street and number/PO box: … 3.2.4.2. Place and postal code: … 3.2.4.3. Country: … 3.2.5. Has benefited from 3.2.5.1. legal aid: Yes No 3.2.5.2. exemption from costs and expenses: Yes No 3.2.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 3.3. Person C 3.3.1. Surname and given name(s): … 3.3.2. Date (dd/mm/yyyy) and place of birth: … 3.3.3. Identity number or social security number: … 3.3.4. Address: 3.3.4.1. Street and number/PO box: … 3.3.4.2. Place and postal code: … 3.3.4.3. Country: … 3.3.5. Has benefited from 3.3.5.1. legal aid: Yes No 3.3.5.2. exemption from costs and expenses: Yes No 3.3.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 4. DEFENDANT(S) ( 4 ) ( 5 ) 4.1. Person A 4.1.1. Surname and given name(s): … 4.1.2. Date (dd/mm/yyyy) and place of birth: … 4.1.3. Identity number or social security number: … 4.1.4. Address: 4.1.4.1. Street and number/PO box: … 4.1.4.2. Place and postal code: … 4.1.4.3. Country: … 4.1.5. Has benefited from 4.1.5.1. legal aid: Yes No 4.1.5.2. exemption from costs and expenses: Yes No 4.1.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 4.2. Person B 4.2.1. Surname and given name(s): … 4.2.2. Date (dd/mm/yyyy) and place of birth: … 4.2.3. Identity number or social security number: … 4.2.4. Address: 4.2.4.1. Street and number/PO box: … 4.2.4.2. Place and postal code: … 4.2.4.3. Country: … 4.2.5. Has benefited from 4.2.5.1. legal aid: Yes No 4.2.5.2. exemption from costs and expenses: Yes No 4.2.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 4.3. Person C 4.3.1. Surname and given name(s): … 4.3.2. Date (dd/mm/yyyy) and place of birth: … 4.3.3. Identity number or social security number: … 4.3.4. Address: 4.3.4.1. Street and number/PO box: … 4.3.4.2. Place and postal code: … 4.3.4.3. Country: … 4.3.5. Has benefited from 4.3.5.1. legal aid: Yes No 4.3.5.2. exemption from costs and expenses: Yes No 4.3.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 5. TERMS OF THE DECISION/COURT SETTLEMENT 5.1. Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … 5.2. Maintenance claim ( 6 ) 5.2.1. Maintenance claim A 5.2.1.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.1.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.1.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.1.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … … Indexation applicable as from: … (dd/mm/yyyy) 5.2.1.5. Amount due retroactively Period covered: … ([dd/mm/yyyy] to [dd/mm/yyyy]) Amount: … Form of payment: … … … 5.2.1.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.1.7. Payment in kind (please specify): … … … … 5.2.1.8. Other form of payment (please specify): … … … … 5.2.2. Maintenance claim B 5.2.2.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.2.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.2.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.2.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.2.5. Amount due retroactively Period covered: … ([dd/mm/yyyy] to [dd/mm/yyyy]) Amount: … Form of payment: … … … 5.2.2.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.2.7. Payment in kind (please specify): … … … … 5.2.2.8. Other form of payment (please specify): … … … … 5.2.3. Maintenance claim C 5.2.3.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.3.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.3.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.3.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.3.5. Amount due retroactively Period covered: … ([dd/mm/yyyy] to [dd/mm/yyyy]) Amount: … Form of payment: … … … 5.2.3.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.3.7. Payment in kind (please specify): … … … … 5.2.3.8. Other form of payment (please specify): … … … … 5.3. Costs and expenses The decision/court settlement provides that … (surname and given name(s)) must pay the sum of … to: … [surname and given name(s)]. If additional pages have been attached, state the number of pages: … Done at: … on: … (dd/mm/yyyy) Signature and/or stamp of the court of origin: … ‘ANNEX II EXTRACT FROM A DECISION/COURT SETTLEMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS SUBJECT TO PROCEEDINGS FOR RECOGNITION AND A DECLARATION OF ENFORCEABILITY (Articles 28 and 75(2) of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 7 ) ) IMPORTANT To be issued by the court of origin To be issued only if the decision or court settlement is enforceable in the Member State of origin Mention only information which is given in the decision or court settlement or of which the court of origin has been made aware 1. NATURE OF THE DOCUMENT Decision Court settlement Date and reference number: … 2. COURT OF ORIGIN 2.1. Name: … 2.2. Address: 2.2.1. Street and number/PO box: … 2.2.2. Place and postal code: … 2.2.3. Member State Belgium Bulgaria Czech Republic Denmark Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 2.3. Telephone/Fax/E-mail: … 3. CLAIMANT(S) ( 8 ) ( 9 ) 3.1. Person A 3.1.1. Surname and given name(s): … 3.1.2. Date (dd/mm/yyyy) and place of birth: … 3.1.3. Identity number or social security number: … 3.1.4. Address: 3.1.4.1. Street and number/PO box: … 3.1.4.2. Place and postal code: … 3.1.4.3. Country: … 3.1.5. Has benefited from 3.1.5.1. legal aid: Yes No 3.1.5.2. exemption from costs and expenses: Yes No 3.1.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 10 ) : Yes No 3.2. Person B 3.2.1. Surname and given name(s): … 3.2.2. Date (dd/mm/yyyy) and place of birth: … 3.2.3. Identity number or social security number: … 3.2.4. Address: 3.2.4.1. Street and number/PO box: … 3.2.4.2. Place and postal code: … 3.2.4.3. Country: … 3.2.5. Has benefited from 3.2.5.1. legal aid: Yes No 3.2.5.2. exemption from costs and expenses: Yes No 3.2.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 11 ) : Yes No 3.3. Person C 3.3.1. Surname and given name(s): … 3.3.2. Date (dd/mm/yyyy) and place of birth: … 3.3.3. Identity number or social security number: … 3.3.4. Address: 3.3.4.1. Street and number/PO box: … 3.3.4.2. Place and postal code: … 3.3.4.3. Country: … 3.3.5. Has benefited from 3.3.5.1. legal aid: Yes No 3.3.5.2. exemption from costs and expenses: Yes No 3.3.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 12 ) : Yes No 4. DEFENDANT(S) ( 13 ) ( 14 ) 4.1. Person A 4.1.1. Surname and given name(s): … 4.1.2. Date (dd/mm/yyyy) and place of birth: … 4.1.3. Identity number or social security number: … 4.1.4. Address: 4.1.4.1. Street and number/PO box: … 4.1.4.2. Place and postal code: … 4.1.4.3. Country: … 4.1.5. Has benefited from 4.1.5.1. legal aid: Yes No 4.1.5.2. exemption from costs and expenses: Yes No 4.1.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 15 ) : Yes No 4.2. Person B 4.2.1. Surname and given name(s): … 4.2.2. Date (dd/mm/yyyy) and place of birth: … 4.2.3. Identity number or social security number: … 4.2.4. Address: 4.2.4.1. Street and number/PO box: … 4.2.4.2. Place and postal code: … 4.2.4.3. Country: … 4.2.5. Has benefited from 4.2.5.1. legal aid: Yes No 4.2.5.2. exemption from costs and expenses: Yes No 4.2.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 16 ) : Yes No 4.3. Person C 4.3.1. Surname and given name(s): … 4.3.2. Date (dd/mm/yyyy) and place of birth: … 4.3.3. Identity number or social security number: … 4.3.4. Address: 4.3.4.1. Street and number/PO box: … 4.3.4.2. Place and postal code: … 4.3.4.3. Country: … 4.3.5. Has benefited from 4.3.5.1. legal aid: Yes No 4.3.5.2. exemption from costs and expenses: Yes No 4.3.5.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009 ( 17 ) : Yes No 5. TERMS OF THE DECISION/COURT SETTLEMENT 5.1. Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Danish krone (DKK) Pound sterling (GBP) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … 5.2. Maintenance claim ( 18 ) 5.2.1. Maintenance claim A 5.2.1.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.1.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.1.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.1.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.1.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.1.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.1.7. Payment in kind (please specify): … … … … 5.2.1.8. Other form of payment (please specify): … … … … 5.2.2. Maintenance claim B 5.2.2.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.2.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.2.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.2.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.2.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.2.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.2.7. Payment in kind (please specify): … … … … 5.2.2.8. Other form of payment (please specify): … … … … 5.2.3. Maintenance claim C 5.2.3.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.3.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.3.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.3.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.3.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.3.6. Interest (if specified in the decision/court settlement) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.3.7. Payment in kind (please specify): … … … … 5.2.3.8. Other form of payment (please specify): … … … … 5.3. Costs and expenses The decision/court settlement provides that … (surname and given name(s)) must pay the sum of … to: … (surname and given name(s)). If additional pages have been attached, state the number of pages: … Done at: … on: … (dd/mm/yyyy) Signature and/or stamp of the court of origin: … ‘ANNEX III EXTRACT FROM AN AUTHENTIC INSTRUMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS NOT SUBJECT TO PROCEEDINGS FOR RECOGNITION OR A DECLARATION OF ENFORCEABILITY (Article 48 of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 19 ) ) IMPORTANT To be issued by the competent authority in the Member State of origin To be issued only if the authentic instrument is enforceable in the Member State of origin Mention only information which is given in the authentic instrument or of which the competent authority has been made aware 1. DATE AND REFERENCE NUMBER OF THE AUTHENTIC INSTRUMENT: … The authentic instrument is recognised and enforceable in another Member State without any possibility of opposing its recognition and without the need for a declaration of enforceability (Article 48 of Regulation (EC) No 4/2009). 2. NATURE OF THE AUTHENTIC INSTRUMENT 2.1. Instrument formally drawn up or registered on: … (dd/mm/yyyy) Agreement concluded or authenticated on: … (dd/mm/yyyy) 2.2. Competent authority: 2.2.1. Name: … 2.2.2. Address: 2.2.2.1. Street and number/PO box: … 2.2.2.2. Place and postal code: … 2.2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Finland Sweden 2.2.3. Telephone/Fax/E-mail: … 3. CREDITOR(S) ( 20 ) 3.1. Person A 3.1.1. Surname and given name(s): … 3.1.2. Date (dd/mm/yyyy) and place of birth: … 3.1.3. Identity number or social security number: … 3.1.4. Address: 3.1.4.1. Street and number/PO box: … 3.1.4.2. Place and postal code: … 3.1.4.3. Country: … 3.2. Person B 3.2.1. Surname and given name(s): … 3.2.2. Date (dd/mm/yyyy) and place of birth: … 3.2.3. Identity number or social security number: … 3.2.4. Address: 3.2.4.1. Street and number/PO box: … 3.2.4.2. Place and postal code: … 3.2.4.3. Country: … 3.3. Person C 3.3.1. Surname and given name(s): … 3.3.2. Date (dd/mm/yyyy) and place of birth: … 3.3.3. Identity number or social security number: … 3.3.4. Address: 3.3.4.1. Street and number/PO box: … 3.3.4.2. Place and postal code: … 3.3.4.3. Country: … 4. DEBTOR(S) ( 21 ) 4.1. Person A 4.1.1. Surname and given name(s): … 4.1.2. Date (dd/mm/yyyy) and place of birth: … 4.1.3. Identity number or social security number: … 4.1.4. Address: 4.1.4.1. Street and number/PO box: … 4.1.4.2. Place and postal code: … 4.1.4.3. Country: … 4.2. Person B 4.2.1. Surname and given name(s): … 4.2.2. Date (dd/mm/yyyy) and place of birth: … 4.2.3. Identity number or social security number: … 4.2.4. Address: 4.2.4.1. Street and number/PO box: … 4.2.4.2. Place and postal code: … 4.2.4.3. Country: … 4.3. Person C 4.3.1. Surname and given name(s): … 4.3.2. Date (dd/mm/yyyy) and place of birth: … 4.3.3. Identity number or social security number: … 4.3.4. Address: 4.3.4.1. Street and number/PO box: … 4.3.4.2. Place and postal code: … 4.3.4.3. Country: … 5. CONTENTS OF THE AUTHENTIC INSTRUMENT 5.1. Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … 5.2. Maintenance claim ( 22 ) 5.2.1. Maintenance claim A 5.2.1.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.1.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.1.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.1.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.1.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.1.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.1.7. Payment in kind (please specify): … … … … 5.2.1.8. Other form of payment (please specify): … … … … 5.2.2. Maintenance claim B 5.2.2.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.2.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.2.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.2.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.2.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.2.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.2.7. Payment in kind (please specify): … … … … 5.2.2.8. Other form of payment (please specify): … … … … 5.2.3. Maintenance claim C 5.2.3.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.3.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.3.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.3.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.3.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.3.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.3.7. Payment in kind (please specify): … … … … 5.2.3.8. Other form of payment (please specify): … … … … 5.3. Costs The authentic instrument provides that … (surname and given name(s)) must pay the sum of … to: … (surname and given name(s)). If additional pages have been attached, state the number of pages: … Done at: … on: … (dd/mm/yyyy) Signature and/or stamp of the competent authority: … ‘ANNEX IV EXTRACT FROM AN AUTHENTIC INSTRUMENT IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS SUBJECT TO PROCEEDINGS FOR RECOGNITION AND A DECLARATION OF ENFORCEABILITY (Articles 48 and 75(2) of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 23 ) ) IMPORTANT To be issued by the competent authority in the Member State of origin To be issued only if the authentic instrument is enforceable in the Member State of origin Mention only information which is given in the authentic instrument or of which the competent authority has been made aware 1. DATE AND REFERENCE NUMBER OF THE AUTHENTIC INSTRUMENT: … 2. NATURE OF THE AUTHENTIC INSTRUMENT 2.1. Instrument formally drawn up or registered on: … (dd/mm/yyyy) Agreement concluded or authenticated on: … (dd/mm/yyyy) 2.2. Competent authority: 2.2.1. Name: … 2.2.2. Address: 2.2.2.1. Street and number/PO box: … 2.2.2.2. Place and postal code: … 2.2.2.3. Member State: Belgium Bulgaria Czech Republic Denmark Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 2.2.3. Telephone/Fax/E-mail: … 3. CREDITOR(S) ( 24 ) 3.1. Person A 3.1.1. Surname and given name(s): … 3.1.2. Date (dd/mm/yyyy) and place of birth: … 3.1.3. Identity number or social security number: … 3.1.4. Address: 3.1.4.1. Street and number/PO box: … 3.1.4.2. Place and postal code: … 3.1.4.3. Country: … 3.2. Person B 3.2.1. Surname and given name(s): … 3.2.2. Date (dd/mm/yyyy) and place of birth: … 3.2.3. Identity number or social security number: … 3.2.4. Address: 3.2.4.1. Street and number/PO box: … 3.2.4.2. Place and postal code: … 3.2.4.3. Country: … 3.3. Person C 3.3.1. Surname and given name(s): … 3.3.2. Date (dd/mm/yyyy) and place of birth: … 3.3.3. Identity number or social security number: … 3.3.4. Address: 3.3.4.1. Street and number/PO box: … 3.3.4.2. Place and postal code: … 3.3.4.3. Country: … 4. DEBTOR(S) ( 25 ) 4.1. Person A 4.1.1. Surname and given name(s): … 4.1.2. Date (dd/mm/yyyy) and place of birth: … 4.1.3. Identity number or social security number: … 4.1.4. Address: 4.1.4.1. Street and number/PO box: … 4.1.4.2. Place and postal code: … 4.1.4.3. Country: … 4.2. Person B 4.2.1. Surname and given name(s): … 4.2.2. Date (dd/mm/yyyy) and place of birth: … 4.2.3. Identity number or social security number: … 4.2.4. Address: 4.2.4.1. Street and number/PO box: … 4.2.4.2. Place and postal code: … 4.2.4.3. Country: … 4.3. Person C 4.3.1. Surname and given name(s): … 4.3.2. Date (dd/mm/yyyy) and place of birth: … 4.3.3. Identity number or social security number: … 4.3.4. Address: 4.3.4.1. Street and number/PO box: … 4.3.4.2. Place and postal code: … 4.3.4.3. Country: … 5. CONTENTS OF THE AUTHENTIC INSTRUMENT 5.1. Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Danish krone (DKK) Pound sterling (GBP) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … 5.2. Maintenance claim ( 26 ) 5.2.1. Maintenance claim A 5.2.1.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) Person for whom maintenance is owed: … (surname and given name(s)) 5.2.1.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.1.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.1.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … … Indexation applicable as from: … (dd/mm/yyyy) 5.2.1.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.1.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … … Interest due as from: … (dd/mm/yyyy) 5.2.1.7. Payment in kind (please specify): … … … … 5.2.1.8. Other form of payment (please specify): … … … … 5.2.2. Maintenance claim B 5.2.2.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) … Person for whom maintenance is owed: … (surname and given name(s)) 5.2.2.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.2.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.2.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … Indexation applicable as from: … (dd/mm/yyyy) 5.2.2.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.2.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.2.7. Payment in kind (please specify): … … … … 5.2.2.8. Other form of payment (please specify): … … … … 5.2.3. Maintenance claim C 5.2.3.1. The maintenance is to be paid by … (surname and given name(s)) to … (surname and given name(s) of the person to whom the sum must actually be paid) … Person for whom maintenance is owed: … (surname and given name(s)) 5.2.3.2. Amount to be paid in one sum Period covered, where applicable: … (from date (dd/mm/yyyy) to date (dd/mm/yyyy) or event) Due date: … (dd/mm/yyyy) Amount: … 5.2.3.3. Amount to be paid in instalments Maturity date (dd/mm/yyyy) Amount 5.2.3.4. Sum to be paid regularly Once a week Once a month Other (state frequency): … Amount: … From: … (dd/mm/yyyy) Due day/date: … If applicable, until (date (dd/mm/yyyy) or event): … If the maintenance claim is subject to indexation, please indicate how that indexation is to be calculated: … … Indexation applicable as from: … (dd/mm/yyyy) 5.2.3.5. Amount due retroactively Period covered: … ((dd/mm/yyyy) to (dd/mm/yyyy)) Amount: … Form of payment: … … … 5.2.3.6. Interest (if specified in the authentic instrument) If the maintenance claim is subject to interest, please indicate the rate: … Interest due as from: … (dd/mm/yyyy) 5.2.3.7. Payment in kind (please specify): … … … … 5.2.3.8. Other form of payment (please specify): … … … … 5.3. Costs The authentic instrument provides that … (surname and given name(s)) must pay the sum of … to … (surname and given name(s)). If additional pages have been attached, state the number of pages: … Done at: … on: … (dd/mm/yyyy) Signature and/or stamp of the competent authority: … ‘ANNEX V REQUEST FOR SPECIFIC MEASURES (Article 53 of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 27 ) ) PART A To be completed by the requesting Central Authority 1. REQUESTING CENTRAL AUTHORITY 1.1. Name: … 1.2. Address: 1.2.1. Street and number/PO box: … 1.2.2. Place and postal code: … 1.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 1.3. Telephone: … 1.4. Fax … 1.5. E-mail: … 1.6. Reference number: … 1.7. Person responsible for following up the request: 1.7.1. Surname and given name(s): … 1.7.2. Telephone: … 1.7.3. E-mail: … 2. REQUESTED CENTRAL AUTHORITY 2.1. Name: … 2.2. Address: 2.2.1. Street and number/PO box: … 2.2.2. Place and postal code: … 2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 3. REQUEST 3.1. The purpose of the specific measure requested is to: 3.1.1. help locate the debtor or the creditor (see points 3.3. and 3.4.) 3.1.2. facilitate the search for information on the income or assets of the debtor or the creditor (see points 3.3. and 3.4.) 3.1.3. facilitate the obtaining of documentary or other evidence 3.1.4. obtain assistance in establishing parentage 3.1.5. initiate or facilitate the institution of proceedings to obtain a necessary provisional measure which is territorial in nature 3.1.6. facilitate service of a document 3.2. Grounds for the request: … … … … … 3.3. The information requested relates to: 3.3.1. the following debtor 3.3.1.1. Surname and given name(s): … 3.3.1.2. Date (dd/mm/yyyy) and place of birth ( 28 ) : … 3.3.1.3. Last known address: … 3.3.1.4. Identity number or social security number ( 29 ) : … 3.3.1.5. Any other information which may be useful ( 30 ) : … … 3.3.2. the following creditor 3.3.2.1. Surname and given name(s): … 3.3.2.2. Date (dd/mm/yyyy) and place of birth ( 31 ) : … 3.3.2.3. Last known address: … 3.3.2.4. Identity number or social security number ( 32 ) : … 3.3.2.5. Any other information which may be useful ( 33 ) : … … 3.4. Information requested 3.4.1. Current address of the debtor/creditor 3.4.2. Income of the debtor/creditor 3.4.3. Assets of the debtor/creditor, including the location of the assets of the debtor/creditor The creditor has produced a copy of the decision, court settlement or authentic instrument to be enforced, if appropriate accompanied by the relevant form . Yes No There is a risk that notifying the person concerned by the collection of this information may prejudice the effective recovery of the maintenance claim (Article 63(2) of Regulation (EC) No 4/2009). Done at …, on … (dd/mm/yyyy) Name and signature of the authorised official of the requesting Central Authority: … PART B To be completed by the requested Central Authority 4. REFERENCE NUMBER OF THE REQUESTED CENTRAL AUTHORITY: 5. PERSON RESPONSIBLE FOR FOLLOWING UP THE REQUEST: … 5.1. Surname and given name(s): … 5.2. Telephone: … 5.3. Fax … 5.4. E-mail: … 6. MEASURES TAKEN AND RESULTS OBTAINED … … … … 7. INFORMATION COLLECTED: 7.1. Without recourse to Articles 61, 62 and 63 of Regulation (EC) No 4/2009: 7.1.1. Debtor’s/creditor’s address: No Yes (please specify): … … 7.1.2. Debtor’s/creditor’s revenue: No Yes (please specify): … … 7.1.3. Debtor’s/creditor’s assets: No Yes (please specify): … … 7.2. Pursuant to Articles 61, 62 and 63 of Regulation (EC) No 4/2009: 7.2.1. Debtor’s/creditor’s address: No Yes (please specify): … … … 7.2.2. Existence of debtor’s income: No Yes 7.2.3. Existence of debtor’s assets: No Yes IMPORTANT (In the event of the application of Articles 61, 62 and 63 of Regulation (EC) No 4/2009) Except for information merely indicating the existence of an address, income or assets in the requested Member State, the information referred to in Article 61(1) may not be disclosed to the person having applied to the requesting Central Authority, subject to the application of procedural rules before a court (Article 62(2), second subparagraph, of Regulation (EC) No 4/2009). 8. INABILITY TO COMMUNICATE THE REQUESTED INFORMATION The requested Central Authority is not able to provide the information requested, for the following reasons: … … … Done at …, on … (dd/mm/yyyy) Name and signature of the authorised official of the requested Central Authority: … ‘ANNEX VI APPLICATION FORM WITH A VIEW TO THE RECOGNITION, DECLARATION OF ENFORCEABILITY OR ENFORCEMENT OF A DECISION IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS (Articles 56 and 57 of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 34 ) ) PART A To be completed by the requesting Central Authority 1. APPLICATION Application for recognition or for recognition and declaration of enforceability of a decision (Article 56(1)(a)) Application for recognition of a decision (Article 56(2)(a)) Application for enforcement of a decision given or recognised in the requested Member State (Article 56(1)(b)) 2. REQUESTING CENTRAL AUTHORITY 2.1. Name: … 2.2. Address: 2.2.1. Street and number/PO box: … 2.2.2. Place and postal code: … 2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 2.3. Telephone: … 2.4. Fax … 2.5. E-mail: … 2.6. Reference number of the application: … Application to be handled with the application(s) bearing the following reference number(s): … 2.7. Person responsible for following up the application: 2.7.1. Surname and given name(s): … 2.7.2. Telephone: … 2.7.3. E-mail: … 3. REQUESTED CENTRAL AUTHORITY 3.1. Name: … 3.2. Address: 3.2.1. Street and number/PO box: … 3.2.2. Place and postal code: … 3.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 4. DOCUMENTS ATTACHED ( 35 ) TO THE APPLICATION IN THE CASE OF A DECISION MADE IN A MEMBER STATE A copy of the decision/court settlement/authentic instrument An extract from the decision/court settlement/authentic instrument using the form set out in Annex I, Annex II, Annex III or Annex IV A transliteration or translation of the contents of the form set out in Annex I, Annex II, Annex III or Annex IV Where appropriate, a copy of the decision on the declaration of enforceability A document showing the amount of any arrears and the date such amount was calculated A document indicating that the applicant has benefited from legal aid or from exemption from costs and expenses A document indicating that the applicant has benefited from free proceedings before an administrative authority in the Member State of origin, and confirming that the applicant fulfils the financial requirements to qualify for legal aid or exemption from costs and expenses A document establishing the right of the public body to apply for reimbursement of benefits paid to the creditor and justifying the payment of such benefits Other (please specify): … … … … 5. DOCUMENTS ATTACHED ( 36 ) TO THE APPLICATION IN THE CASE OF A DECISION MADE IN A THIRD STATE The complete text of the decision. A summary of or extract from the decision drawn up by the competent authority of the State of origin. A document stating that the decision is enforceable in the State of origin and, in the case of a decision by an administrative authority, a document stating that the requirements of Article 19(3) of the 2007 Hague Convention are met. If the defendant did not appear and was not represented in the proceedings in the State of origin, a document or documents attesting, as appropriate, either that the defendant had proper notice of the proceedings and an opportunity to be heard, or that the defendant had proper notice of the decision and the opportunity to challenge it or appeal it in fact and law. A document showing the amount of any arrears and the date such amount was calculated. A document providing the information necessary to make appropriate calculations in the case of a decision providing for automatic adjustment by indexation. A document showing the extent to which the applicant received free legal assistance in the State of origin. Other (please specify): … … … … Total number of documents attached to the application form: … Done at: … on … (dd/mm/yyyy) Name and signature of the authorised official of the requesting Central Authority: … PART B To be completed by the applicant or, as appropriate, by the person/authority authorised in the requesting Member State to complete the form on the applicant’s behalf 6. APPLICATION 6.1. Application for recognition or for recognition and declaration of enforceability of a decision The application is based on: 6.1.1. Chapter IV, Section 2, of Regulation (EC) No 4/2009 6.1.2. The 2007 Hague Convention 6.1.2.1. Indicate the basis for recognition and enforcement under Article 20 of the 2007 Hague Convention: 6.1.2.2. The defendant has appeared or been represented in the proceedings in the State of origin: Yes No 6.1.3. The national law of the requested Member State 6.1.4. Other (please specify): … … … 6.2. Application for enforcement of a decision given or recognised in the requested Member State 7. DECISION 7.1. Date and reference number: … 7.2. Name of the court of origin: … 8. APPLICANT 8.1. Natural person 8.1.1. Surname and given name(s): … 8.1.2. Date (dd/mm/yyyy) and place of birth: … 8.1.3. Identity number or social security number ( 37 ) : … 8.1.4. Nationality: … 8.1.5. Occupation: … 8.1.6. Civil status: … 8.1.7. Address: The address given below is the applicant’s personal address. The applicant is in a situation of family violence ( 38 ) . The address given below is an address care of: … (surname and given name(s)) 8.1.7.1. Street and number/PO box: … 8.1.7.2. Place and postal code: … 8.1.7.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 8.1.8. Telephone/E-mail: … 8.1.9. Has benefited from: 8.1.9.1. legal aid: Yes No 8.1.9.2. exemption from costs and expenses: Yes No 8.1.9.3. free proceedings before an administrative authority listed in Annex X to Regulation (EC) No 4/2009: Yes No 8.1.10. If applicable, surname, given name(s) and contact details of the applicant’s representative (lawyer, etc. …): … … 8.2. Public body: 8.2.1. Name: … 8.2.2. Address: 8.2.2.1. Street and number/PO box: … 8.2.2.2. Place and postal code: … 8.2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 8.2.3. Telephone/Fax/E-mail: … 8.2.4. Name of the person representing the body in the proceedings ( 39 ) : … 8.2.5. Person responsible for following up the application: 8.2.5.1. Surname and given name(s): … 8.2.5.2. Telephone: … 8.2.5.3. Fax … 8.2.5.4. E-mail: … 9. DEFENDANT 9.1. Surname and given name(s): … 9.2. Date (dd/mm/yyyy) and place of birth ( 40 ) : … 9.3. Identity number or social security number ( 41 ) : … 9.4. Nationality ( 42 ) : … 9.5. Occupation ( 43 ) : … 9.6. Civil status ( 44 ) : … 9.7. Address ( 45 ) : 9.7.1. Street and number/PO box: … 9.7.2. Place and postal code: … 9.7.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 10. ANY OTHER INFORMATION THAT MAY HELP LOCATE THE DEFENDANT: … … … … 11. PERSON(S) FOR WHOM MAINTENANCE IS SOUGHT OR OWED ( 46 ) 11.1. The person is the same as the applicant named in point 8 11.2. The person is the same as the defendant named in point 9 The applicant The defendant is the representative ( 47 ) defending the interests of the following person(s): 11.3.1. Person A 11.3.1.1. Surname and given name(s): … 11.3.1.2. Date (dd/mm/yyyy) and place of birth: … 11.3.1.3. Identity number or social security number ( 48 ) : … 11.3.1.4. Nationality ( 49 ) : … 11.3.1.5. Occupation ( 50 ) : … 11.3.1.6. Civil status ( 51 ) : … 11.3.2. Person B 11.3.2.1. Surname and given name(s): … 11.3.2.2. Date (dd/mm/yyyy) and place of birth: … 11.3.2.3. Identity number or social security number ( 52 ) : … 11.3.2.4. Nationality ( 53 ) : … 11.3.2.5. Occupation ( 54 ) : … 11.3.2.6. Civil status ( 55 ) : … 11.3.3. Person C 11.3.3.1. Surname and given name(s): … 11.3.3.2. Date (dd/mm/yyyy) and place of birth: … 11.3.3.3. Identity number or social security number ( 56 ) : … 11.3.3.4. Nationality ( 57 ) : … 11.3.3.5. Occupation ( 58 ) : … 11.3.3.6. Civil status ( 59 ) : … 12. DEBTOR 12.1. The person is the same as the applicant named in point 8 12.2. The person is the same as the defendant named in point 9 The applicant The defendant is the representative ( 60 ) defending the interests of the following person: 12.3.1. Surname and given name(s): … 12.3.2. Date (dd/mm/yyyy) and place of birth: … 12.3.3. Identity number or social security number ( 61 ) : … 12.3.4. Nationality ( 62 ) : … 12.3.5. Occupation ( 63 ) : … 12.3.6. Civil status ( 64 ) : … 13. INFORMATION REGARDING PAYMENT, IF THE APPLICATION IS MADE BY THE CREDITOR 13.1. Payment by electronic means 13.1.1. Name of bank: … 13.1.2. BIC or other relevant bank code: … 13.1.3. Account holder: … 13.1.4. International Bank Account Number (IBAN): … 13.2. Payment by cheque 13.2.1. Cheque payable to: … 13.2.2. Cheque to be sent to 13.2.2.1. Surname and given name(s): … 13.2.2.2. Address: 13.2.2.2.1. Street and number/PO box: … 13.2.2.2.2. Place and postal code: … 13.2.2.2.3. Country: … 14. ADDITIONAL INFORMATION (WHERE APPLICABLE): … … … Done at: … on … (dd/mm/yyyy) Applicant’s signature: … and/or, where appropriate: Name and signature of the person/authority authorised in the requesting Member State to complete the form on the applicant’s behalf: … ‘ANNEX VII APPLICATION FORM TO OBTAIN OR HAVE MODIFIED A DECISION IN MATTERS RELATING TO MAINTENANCE OBLIGATIONS (Articles 56 and 57 of Council Regulation (EC) No 4/2009 of 18 December 2008 on jurisdiction, applicable law, recognition and enforcement of decisions and cooperation in matters relating to maintenance obligations ( 65 ) ) PART A To be completed by the requesting Central Authority 1. APPLICATION Application to obtain a decision (Article 56(1)(c)) Application to obtain a decision (Article 56(1)(d)) Application for the modification of a decision (Article 56(1)(e)) Application for the modification of a decision (Article 56(1)(f)) Application for the modification of a decision (Article 56(2)(b)) Application for the modification of a decision (Article 56(2)(c)) 2. REQUESTING CENTRAL AUTHORITY 2.1. Name: … 2.2. Address: 2.2.1. Street and number/PO box: … 2.2.2. Place and postal code: … 2.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 2.3. Telephone: … 2.4. Fax … 2.5. E-mail: … 2.6. Reference number of the application: … Application to be handled with the application(s) bearing the following reference number(s): … 2.7. Person responsible for following up the application: 2.7.1. Surname and given name(s): … 2.7.2. Telephone: … 2.7.3. E-mail: … 3. REQUESTED CENTRAL AUTHORITY 3.1. Name: … 3.2. Address: 3.2.1. Street and number/PO box: … 3.2.2. Place and postal code: … 3.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 4. DOCUMENTS ATTACHED ( 66 ) TO THE APPLICATION, AS APPROPRIATE Decision of the requested Member State refusing recognition or a declaration of enforceability Copy of the decision to be modified Extract from the decision to be modified Document(s) proving a change in income or any other change in circumstances Birth certificate(s) or equivalent Debtor’s acknowledgement of parentage Document(s) proving biological parentage Decision by a competent authority in relation to parentage Results of genetic tests Adoption certificate Certificate of marriage or similar relationship Document(s) proving the date of divorce/separation Document(s) proving that the parties live together Certificate(s) regarding schooling Document(s) relevant to the financial situation Other (please specify): … … … … Total number of documents attached to the application form: … Done at: … on … (dd/mm/yyyy) Name and signature of the authorised official of the requesting Central Authority: … PART B To be completed by the applicant or, as appropriate, by the person/authority authorised in the requesting Member State to complete the form on the applicant’s behalf 5. APPLICATION 5.1. Application to obtain a decision 5.1.1. Parentage has not been established 5.1.2. No decision exists 5.1.3. Recognition and a declaration of enforceability of an existing decision are not possible 5.1.4. Amount requested: … … … 5.2. Application for modification of a decision 5.2.1. The decision was given in the requested Member State 5.2.2. The decision was given in a State other than the requested Member State 5.2.3. Date (dd/mm/yyyy) and reference number of the decision: … 5.2.4. Name of the court of origin: … 5.2.5. Changes in circumstances which have occurred: Change in income: of the person(s) for whom maintenance is sought or owed of the person primarily responsible for the person(s) for whom maintenance is sought or owed of the debtor Change in expenses and charges: of the person(s) for whom maintenance is sought or owed of the person primarily responsible for the person(s) for whom maintenance is sought or owed of the debtor Change in the situation of the child/children Change in civil status: of the person(s) for whom maintenance is sought or owed of the person primarily responsible for the person(s) for whom maintenance is sought or owed of the debtor Other (please specify): … … … 5.2.6. Modification(s) requested: Increase in the amount of maintenance: The amount of maintenance should be increased by (please specify): … The new amount of maintenance should be (please specify): Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Pound sterling (GBP) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … Reduction in the amount of maintenance: The amount of maintenance should be reduced by (please specify): … The new amount of maintenance should be (please specify): Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Pound sterling (GBP) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … Modification of the frequency of payments (please specify): … Modification of the arrangements for payment (please specify): … Modification of the nature of payments (please specify): … Termination of the maintenance obligation (please specify): … Other (please specify): … … 6. APPLICANT 6.1. Surname and given name(s): … 6.2. Address: The address given below is the applicant’s personal address. The applicant is in a situation of family violence ( 67 ) . The address given below is an address care of: … (surname and given name(s)) 6.2.1. Street and number/PO box: … 6.2.2. Place and postal code: … 6.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 6.3. Telephone/E-mail: … 6.4. Date (dd/mm/yyyy) and place of birth: … 6.5. Identity number or social security number ( 68 ) : … 6.6. Nationality: … 6.7. Occupation: … 6.8. Civil status: … 6.9. If applicable, surname, given name(s) and contact details of the applicant’s representative (lawyer, etc. …): … … 7. DEFENDANT 7.1. Surname and given name(s): … 7.2. Address ( 69 ) : 7.2.1. Street and number/PO box: … 7.2.2. Place and postal code: … 7.2.3. Member State Belgium Bulgaria Czech Republic Germany Estonia Ireland Greece Spain France Croatia Italy Cyprus Latvia Lithuania Luxembourg Hungary Malta Netherlands Austria Poland Portugal Romania Slovenia Slovakia Finland Sweden United Kingdom 7.3. Date (dd/mm/yyyy) and place of birth ( 70 ) : … 7.4. Identity number or social security number ( 71 ) : … 7.5. Nationality ( 72 ) : … 7.6. Occupation ( 73 ) : … 7.7. Civil status ( 74 ) : … 8. ANY OTHER INFORMATION THAT MAY HELP LOCATE THE DEFENDANT: … … … 9. PERSON(S) FOR WHOM MAINTENANCE IS SOUGHT OR OWED ( 75 ) 9.1. The person is the same as the applicant named in point 6 9.2. The person is the same as the defendant named in point 7 The applicant The defendant is the representative ( 76 ) defending the interests of the following person(s): 9.3.1. Person A 9.3.1.1. Surname and given name(s): … 9.3.1.2. Date (dd/mm/yyyy) and place of birth: … 9.3.1.3. Identity number or social security number ( 77 ) : … 9.3.1.4. Nationality ( 78 ) : … 9.3.1.5. Occupation ( 79 ) : … 9.3.1.6. Civil status ( 80 ) : … 9.3.1.7. Maintenance is on the basis of the following relationship: Parentage (please specify relationship): … Marriage Analogous relationship to marriage Alliance (please specify relationship): … Other (please specify): … 9.3.2. Person B 9.3.2.1. Surname and given name(s): … 9.3.2.2. Date (dd/mm/yyyy) and place of birth: … 9.3.2.3. Identity number or social security number ( 81 ) : … 9.3.2.4. Nationality ( 82 ) : … 9.3.2.5. Occupation ( 83 ) : … 9.3.2.6. Civil status ( 84 ) : … 9.3.2.7. Maintenance is on the basis of the following relationship: Parentage (please specify relationship): … Marriage Analogous relationship to marriage Alliance (please specify relationship): … Other (please specify): … 9.3.3. Person C 9.3.3.1. Surname and given name(s): … 9.3.3.2. Date (dd/mm/yyyy) and place of birth: … 9.3.3.3. Identity number or social security number ( 85 ) : … 9.3.3.4. Nationality ( 86 ) : … 9.3.3.5. Occupation ( 87 ) : … 9.3.3.6. Civil status ( 88 ) : … 9.3.3.7. Maintenance is on the basis of the following relationship: Parentage (please specify relationship): … Marriage Analogous relationship to marriage Alliance (please specify relationship): … Other (please specify): … 10. DEBTOR 10.1. The person is the same as the applicant named in point 6 10.2. The person is the same as the defendant named in point 7 The applicant The defendant is the representative ( 89 ) defending the interests of the following person: 10.3.1. Surname and given name(s): … 10.3.2. Date (dd/mm/yyyy) and place of birth: … 10.3.3. Identity number or social security number ( 90 ) : … 10.3.4. Nationality ( 91 ) : … 10.3.5. Occupation ( 92 ) : … 10.3.6. Civil status ( 93 ) : … 10.3.7. Maintenance is on the basis of the following relationship: Parentage (please specify relationship): … Marriage Analogous relationship to marriage Alliance (please specify relationship): … Other (please specify): … 11. INFORMATION ON THE FINANCIAL SITUATION OF THE PERSONS CONCERNED BY THE APPLICATION (ONLY GIVE INFORMATION WHICH IS RELEVANT FOR THE PURPOSE OF OBTAINING OR MODIFYING A DECISION) 11.1. Currency Euro (EUR) Lev (BGN) Czech koruna (CZK) Pound sterling (GBP) Kuna (HRK) Forint (HUF) Zloty (PLN) Leu (RON) Krona (SEK) Other (please specify ISO code): … 11.2. The person(s) for whom maintenance is sought or owed and the person primarily responsible for that person (those persons) 11.2.1. Gross income Monthly Annual Person primarily responsible for the person(s) for whom maintenance is sought or owed Spouse or current partner of the person primarily responsible for the person(s) for whom maintenance is sought or owed Person for whom maintenance is sought or owed (Person A) Person for whom maintenance is sought or owed (Person B) Person for whom maintenance is sought or owed (Person C) Salary (including payments in kind), pensions, disability pensions, maintenance payments, allowances, annuities, unemployment benefits Income from non-salaried occupations Income from securities/floating capital/real property Other sources of income TOTAL 11.2.2. Expenses and charges Monthly Annual Person primarily responsible for the person(s) for whom maintenance is sought or owed Spouse or current partner of the person primarily responsible for the person(s) for whom maintenance is sought or owed Person for whom maintenance is sought or owed (Person A) Person for whom maintenance is sought or owed (Person B) Person for whom maintenance is sought or owed (Person C) Taxes Insurance premiums, mandatory social security and professional contributions Rent/cost of co-ownership, mortgage payments Food and clothing Medical expenses Maintenance paid to a third party by virtue of a legal obligation and/or expenditure for other dependent persons not covered by the application Education costs of children Loan repayments, other debts Other expenditure TOTAL 11.2.3. Other assets … … … 11.3. The debtor 11.3.1. Gross income Monthly Annual Debtor Current spouse or partner of the debtor Salary (including payments in kind), pensions, disability pensions, maintenance payments, allowances, annuities, unemployment benefits Income from non-salaried occupations Income from securities/floating capital/real property Other sources of income TOTAL 11.3.2. Expenses and charges Monthly Annual Debtor Current spouse or partner of the debtor Taxes Insurance premiums, mandatory social security and professional contributions Rent/cost of co-ownership, mortgage payments Food and clothing Medical expenses Maintenance paid to a third party by virtue of a legal obligation and/or expenditure for other dependent persons not covered by the application Education costs of children Loan repayments, other debts Other expenditure TOTAL 11.3.3. Other assets … … … 12. INFORMATION REGARDING PAYMENT, IF THE APPLICATION IS MADE BY THE CREDITOR 12.1. Payment by electronic means 12.1.1. Name of bank: … 12.1.2. BIC or other relevant bank code: … 12.1.3. Account holder: … 12.1.4. International Bank Account Number (IBAN): … 12.2. Payment by cheque 12.2.1. Cheque payable to: … 12.2.2. Cheque to be sent to 12.2.2.1. Surname and given name(s): … 12.2.2.2. Address: 12.2.2.2.1. Street and number/PO box: … 12.2.2.2.2. Place and postal code: … 12.2.2.2.3. Country: … 13. ADDITIONAL INFORMATION (WHERE APPLICABLE): … … … Done at: … on … (dd/mm/yyyy) Applicant’s signature: … and/or, where appropriate: Name and signature of the person/authority authorised in the requesting Member State to complete the form on the applicant’s behalf: … ’ ( 1 ) OJ L 7, 10.1.2009, p. 1 . ( 2 ) If the parties are not the claimant or defendant in the decision/court settlement, indicate either of the parties as claimant or defendant. ( 3 ) If the decision/court settlement concerns more than three claimants or three defendants, attach an additional sheet. ( 4 ) If the parties are not the claimant or defendant in the decision/court settlement, indicate either of the parties as claimant or defendant. ( 5 ) If the decision/court settlement concerns more than three claimants or three defendants, attach an additional sheet. ( 6 ) If the decision/court settlement concerns more than three maintenance claims, attach an additional sheet. ( 7 ) OJ L 7, 10.1.2009, p. 1 . ( 8 ) If the parties are not the claimant or defendant in the decision/court settlement, indicate either of the parties as claimant or defendant. ( 9 ) If the decision/court settlement concerns more than three claimants or three defendants, attach an additional sheet. ( 10 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 11 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 12 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 13 ) If the parties are not the claimant or defendant in the decision/court settlement, indicate either of the parties as claimant or defendant. ( 14 ) If the decision/court settlement concerns more than three claimants or three defendants, attach an additional sheet. ( 15 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 16 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 17 ) For Denmark, the administrative authorities listed in the agreement between the European Community and the Kingdom of Denmark on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters ( OJ L 251, 21.9.2013, p. 1 ). ( 18 ) If the decision/court settlement concerns more than three maintenance claims, attach an additional sheet. ( 19 ) OJ L 7, 10.1.2009, p. 1 . ( 20 ) If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet. ( 21 ) If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet. ( 22 ) If the authentic instrument concerns more than three maintenance claims, attach an additional sheet. ( 23 ) OJ L 7, 10.1.2009, p. 1 . ( 24 ) If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet. ( 25 ) If the authentic instrument concerns more than three creditors or three debtors, attach an additional sheet. ( 26 ) If the authentic instrument concerns more than three maintenance claims, attach an additional sheet. ( 27 ) OJ L 7, 10.1.2009, p. 1 . ( 28 ) If available. ( 29 ) If available. ( 30 ) For example, the name of a previous employer, names and addresses of family members, details of a vehicle or property which the person in question might own. ( 31 ) If available. ( 32 ) If available. ( 33 ) For example, the name of a previous employer, names and addresses of family members, details of a vehicle or property which the person in question might own. ( 34 ) OJ L 7, 10.1.2009, p. 1 . ( 35 ) Tick the relevant boxes and number the documents in the order in which they are attached. ( 36 ) Tick the relevant boxes and number the documents in the order in which they are attached. ( 37 ) If available. ( 38 ) The national law of the requested Member State may, however, require the applicant to provide his/her personal address for the purposes of the proceedings (see Article 57(3) of Regulation (EC) No 4/2009]. ( 39 ) If relevant. ( 40 ) If available. ( 41 ) If available. ( 42 ) If available. ( 43 ) If available. ( 44 ) If available. ( 45 ) If available. ( 46 ) If more than three persons, attach an additional sheet. ( 47 ) For example, the person with parental responsibility or the guardian of a protected adult. ( 48 ) If available and/or relevant. ( 49 ) If available and/or relevant. ( 50 ) If available and/or relevant. ( 51 ) If available and/or relevant. ( 52 ) If available and/or relevant. ( 53 ) If available and/or relevant. ( 54 ) If available and/or relevant. ( 55 ) If available and/or relevant. ( 56 ) If available and/or relevant. ( 57 ) If available and/or relevant. ( 58 ) If available and/or relevant. ( 59 ) If available and/or relevant. ( 60 ) For example, the person with parental responsibility or the guardian of a protected adult. ( 61 ) If available. ( 62 ) If available. ( 63 ) If available. ( 64 ) If available. ( 65 ) OJ L 7, 10.1.2009, p. 1 . ( 66 ) Tick the relevant boxes and number the documents in the order in which they are attached. ( 67 ) The national law of the requested Member State may, however, require the applicant to provide his/her personal address for the purposes of the proceedings (see Article 57(3) of Regulation (EC) No 4/2009). ( 68 ) If available. ( 69 ) If available. ( 70 ) If available. ( 71 ) If available. ( 72 ) If available. ( 73 ) If available. ( 74 ) If available. ( 75 ) If more than three persons, attach an additional sheet. ( 76 ) For example the person with parental responsibility or the guardian of a protected adult. ( 77 ) If available and/or relevant. ( 78 ) If available and/or relevant. ( 79 ) If available and/or relevant. ( 80 ) If available and/or relevant. ( 81 ) If available and/or relevant. ( 82 ) If available and/or relevant. ( 83 ) If available and/or relevant. ( 84 ) If available and/or relevant. ( 85 ) If available and/or relevant. ( 86 ) If available and/or relevant. ( 87 ) If available and/or relevant. ( 88 ) If available and/or relevant. ( 89 ) For example the person with parental responsibility or the guardian of a protected adult. ( 90 ) If available. ( 91 ) If available. ( 92 ) If available. ( 93 ) If available.
Other acts of the same type
Council Regulation (EU) 2026/1465 of 25 June 2026 amending Regulation (EU) 2021/2283 opening and providing for the management of autonomous tariff quotas of the Union for certain agricultural and industrial productsCommission Implementing Regulation (EU) 2026/1376 of 23 June 2026 establishing a derogation from Implementing Regulation (EU) 2019/2072 concerning the introduction into the Union territory of unrooted cuttings for planting of Calibrachoa spp., Petunia spp. and their hybrids from UgandaCommission Implementing Regulation (EU) 2026/1378 of 23 June 2026 amending Implementing Regulation (EU) 2017/2470 as regards the conditions of use and the specifications of the novel food Jatropha curcas L. (edible variety) kernelsCommission Regulation (EU) 2026/1380 of 23 June 2026 correcting the Estonian language version of Regulation (EU) No 10/2011 on plastic materials and articles intended to come into contact with foodCommission Implementing Regulation (EU) 2026/1371 of 22 June 2026 correcting Implementing Regulation (EU) 2026/831 imposing a definitive anti-dumping duty on imports of certain continuous filament glass fibre products (GFR) originating in Bahrain, Egypt and ThailandCommission Implementing Regulation (EU) 2026/1373 of 22 June 2026 imposing a definitive anti-dumping duty and definitively collecting the provisional duty imposed on imports of 1,4-Butanediol originating in the People’s Republic of China, the Kingdom of Saudi Arabia and the United States of AmericaCommission Regulation (EU) 2026/1383 of 22 June 2026 amending Council Regulation (EC) No 338/97 to reflect amendments to the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) adopted at the 20th meeting of the Conference of the Parties and other amendments agreed by the Scientific Review GroupCouncil Implementing Regulation (EU) 2026/1393 of 22 June 2026 implementing Article 15(1) of Regulation (EU) No 747/2014 concerning restrictive measures in view of the situation in SudanCouncil Implementing Regulation (EU) 2026/1394 of 22 June 2026 implementing Regulation (EU) 2023/2147 concerning restrictive measures in view of activities undermining the stability and political transition of SudanCouncil Implementing Regulation (EU) 2026/1402 of 22 June 2026 implementing Regulation (EU) 2015/735 concerning restrictive measures in respect of the situation in South SudanCommission Implementing Regulation (EU) 2026/1404 of 22 June 2026 amending Annexes V and XIV to Implementing Regulation (EU) 2021/404 as regards the entries for Canada and the United States in the lists of third countries, territories, or zones thereof authorised for the entry into the Union of consignments of poultry and germinal products of poultry, and of fresh meat of poultry and game birdsCommission Implementing Regulation (EU) 2026/1418 of 22 June 2026 on the registration of the geographical indication Brhlovské podlievané buchty (PGI) in the Union register of geographical indications pursuant to Regulation (EU) 2024/1143 of the European Parliament and of the Council
Source: EUR-Lex (Publications Office of the EU), © European Union, reuse permitted under Commission Decision 2011/833/EU.
What to look at next
Browse all EU Legal ActsEvery instrument by type and year, full text free to read section by sectionEuropean Union legislationEU Legal Acts by type and yearGrouped by instrument type and year of enactment, so you can find others of the same kindBrowse by type and yearEuropean Union: what this database coversWhich datasets are here, which official source they come from, and how current they areEuropean Union overview