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318.260 - Insurance certificate application form

In the interests of a prompt assessment of your application, we kindly request that you ensure that the information you provide is accurate and complete. Please mark the appropriate box.

Every person with health insurance coverage in Switzerland receives a health insurance card from his health insurer. The information on the health insurance card is identical to that on the insurance certificate. Registration for an insurance certificate is required only for persons who do not have a Swiss health insurance card (e.g. cross-border commuters or people who move to Switzerland from abroad). Every insured person may request that an insurance certificate be issued.

The completed and signed form, together with all necessary accompanying documentation should be sent to:

  • your employer (if you are gainfully employed);  
  • the compensation fund or local AHV office which collects your social security contributions (for the self-employed and those not in gainful employment);
  • the relevant cantonal compensation fund (if you do not fall into one of the above categories).

Print out the completed form. Please do not forget to sign the form.

Additional information you get from your compensation fund. A list of addresses can be found at www.ahv-iv.ch.

Personal insurance certificates are issued in accordance with the following legislation:

Paper version for print

If you want to fill in the form by hand, you can use the below PDF file. This version can not be completed online.