Fill in this webform only if you have received notification that you are no longer eligible and if, in the meantime, your situation has changed and you are eligible again. Before submitting the webform, please check you eligibility using the tool provided by the FPS Economy : www.sociaalinternetaanbod.be

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{{errorMessages.LastName.required}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName}} {{errorMessages.LastName.pattern}}
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{{errorMessages.lomKey}} The field is mandatory
It can be found on the left corner of your last bill or payment statement, next to the document number {{errorMessages.CusI.required}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI}} {{errorMessages.CusI.pattern}}
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