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Request a supplementary statement of contribution (DCC) from ADSE

This is the statement that you must submit when you need to request to a private entity (a health insurance company, for example) to supplement a contribution from ADSE, i.e. to pay part of the expense.

The supplementary statement of contribution (DCC) can be requested online or in person at ADSE.

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Who can request a supplementary statement of contribution (DCC) from ADSE?

The beneficiary holder of ADSE or:

  • his/her widow/widower
  • his/her legal representative.

When can you request a supplementary statement of contribution (DCC) from ADSE?

After you receive the reimbursement from ADSE.

What are the documents and requirements to request a supplementary statement of contribution (DCC) from ADSE?

Login with the beneficiary holder’s ADSE number and password (or login through Portal das Finanças [Finances Portal]).

You shall have to indicate:

  • the name and number of the beneficiary for whom the health care was provided
  • the expense document number, date and amount of the expense.

You shall have to indicate:

  • the name and number of the beneficiary for whom the health care was provided
  • the expense document number, date and amount of the expense.

What is the price to request a supplementary statement of contribution (DCC) from ADSE?

It is free of charge.