Submit form online
You can submit the form directly online if you have filled it out completely. You will receive an email confirmation once the form has been sent. If you choose online submission, a signature sheet will be displayed at the end of the process. Print it out, sign it and send it by post to the competent compensation/disability office. You can upload the enclosures directly with the form or send them by post with the signature sheet.
You can save the data that you have entered on your computer/hard drive.
You can then open the form online and edit it further.
The file is accessible for three months after the first saving.
Note to iPhone/iPad users:
Please note that iPhone and iPad devices do not support the «save» function.
Create PDF file/Print form
By clicking the «PDF/Print» button at the bottom of the page, you can create a PDF of the form.
You can save this on your computer/hard drive and/or print it out.
You can also print out an empty form and fill it in by hand.
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The forms are divided into chapters. The chapters are numbered and accompanied by a font structure. The fields are located below the terms. Additional explanations are again listed below these fields.
Use the Microsoft Edge, Safari, Google Chrome or Firefox browser to ensure all the functionality of the form.
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