Jump links

[Jump to content (accesskey 0)]
[Jump to Navigation]

Determination of insurance and heavy labour periods and verification of entitlement

Intro text

This procedure is used to determine insurance and heavy labour periods and assess the insurance eligibility requirements for benefits from age-related insurance cases at the earliest possible date

Progress indicator

The current form uses dynamic content by AJAX. Because your browser does not allow or support JavaScript, these dynamic functions are not directly available. You regardless can use this form, because the dynamic validations are done on 'next'. Yout input in some fields could cause dynamic changes other parts ofthe current Page. On the end of these blocks there will be a 'commit changes' Button, that will process the changes without JavaScipt

Please take note of the explanations in the information sheet

Personal information of the applicant

Title (preceding)

First name*

Last name*

Title (postpositioned)

Former name (1)

Former name (2)

Former name (3)

Gender*

Social security number*

Date of birth (DD.MM.YYYY)*

Place of birth*

Country of birth*

Native language (if not German)

Marital status*

Nationality*

since

Country*

Street*

House number*

Stairway

Floor / Door

Postcode*

Town*

Telephone incl. area code

If you change your address - even if only temporarily, we ask you to inform us immediately.

Navigation elements

(FORMGEN_FORMSERVER / 2311.1.14) 2024-06-16 07:48:43.092

Progress indicator

Personal information of the applicant

Navigation elements

Cookie-Einstellungen