Designation of authorised person(s) for access to the digital platform of the Social Fund for Removals for the requests of P and S cards and for the requests of reimbursement of the foreseen benefits paid to the workers of PC 140.05 with a P removal card.

This form must be completed in full, signed by the person responsible for the day-to-day management at the employer and sent to the manager of the Social Fund reimbursement files: Social Fund for Removals, Stroobantsstraat 48A in 1140 Evere, for the attention of Kathérine Van Landegem ( – 02/240.45.70)

Application form

The undersigned gives his/her consent and declares having been informed of the rules and rights regarding the processing of his/her personal data, as set out on the website of the Social Fund for Removals. (REGULATION (EU) 2016/679 - OJ L119 - 04/05/2016)