Application for exemption from compulsory health insurance

  1. Before you fill in the form

    Advantages:

    • Schedule 20 minutes to complete the form
    • The data cannot be stored temporarily for further processing at a later date
    • Please fill out the form as completely as possible 
    • Keep all necessary documents ready
  2. Application form

    Applicant

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    Note

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    TT.MM.JJJJ

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    Please enter a correct time span.

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    The input does not correspond to the specifications for a telephone number.

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    Please enter a valid email address.

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    Note

    Sex

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    Children

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    Note

    Note

    Type of insurance

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    Note

    Residence permit

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    Spouse or civil partner

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    Note

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    TT.MM.JJJJ

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    Please enter a correct time span.

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    employed

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    Also apply for spouse or civil partner

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    Children

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    ch.zh.web.internet.core.components.forms.placeinputfield.selectlocation

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    TT.MM.JJJJ

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    Please enter a correct time span.

    employed

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    Also apply for the child

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    Information on education, trainings and employment

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    Note

    Type of education

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    Specified education

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