Get R0995

This guide provides clear instructions for users on how to effectively fill out the R0995 form online. Each section of the form is broken down into manageable steps to ensure a smooth completion process.

Follow the steps to fill out the R0995 form online:

1. Press the ‘Get Form’ button to obtain the R0995 form and open it in your selected editor.
2. Begin with the first section titled 'Angaben zur Person'. Here, fill in your name and first name (Rufname), followed by your street address and house number.
3. Next, provide your postal code and the name of the city where you reside.
4. Optionally, include a phone number where you can be contacted during the day, as well as your email address and fax number, if applicable.
5. In the second section, 'Angaben zur Person der Versicherten / des Versicherten', you will need to fill in the name of the insured person if you are applying for a survivor's pension. Input their first name, and include their birth name if it differs.
6. Proceed to fill in the birth date of the insured person.
7. In the next section, confirm the application date by entering the specific date of the request.
8. If applicable, specify whether the application is for retirement benefits and indicate the desired start date for the pension.
9. In section four, provide information regarding the health insurance provider by entering the name of the health insurance company, followed by their street address and postal code.
10. Finally, complete the form by entering the location, date when the application was handed over, and the signature of the person receiving the application.
11. Once all sections are filled, ensure to save any changes you made. You can also download, print, or share the completed form as needed.

Start filling out the R0995 form online today!