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318.260 - Insurance certificate application form

Wir danken Ihnen für vollständige und genaue Angaben, damit wir Ihre Anmeldung prüfen können. Bitte 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.

This application form must be completed if you are not already in possession of a personal insurance certificate, or if your existing certificate has been lost, stolen or is no longer legible. Please note that you must also use this form to notify us of any changes in your personal details.

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.