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Get Ons Adres Is Postbus 75000, 7500 Kc Enschede - Menzis
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How to fill out the Ons Adres Is Postbus 75000, 7500 KC ENSCHEDE - Menzis online
This guide provides clear instructions on completing the Ons Adres Is Postbus 75000, 7500 KC ENSCHEDE - Menzis form online. By following these steps, you will ensure that your submission is accurate and complete.
Follow the steps to fill out the form correctly.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the 'Verzekerde' section. Enter your insurance number, initials, last name, and date of birth.
- Next, provide your street name and house number, followed by your postcode and city of residence.
- In the 'Telefoon (overdag)' field, please include a daytime contact number where you can be reached.
- Enter your authorization number in the 'Machtigingsnummer' section which may be required for processing.
- Indicate the type of transportation you have used by selecting the appropriate option: Openbaar vervoer (public transport), Eigen vervoer (own transport), or Taxi. Make sure to check the applicable box.
- If using public transport or taxi, indicate whether you will be sending along the required travel tickets or invoices as proof of your journey.
- For each trip, enter the date of travel, destination, and the total number of kilometers traveled round trip.
- At the conclusion of the form, review all entries for accuracy and completeness.
- Once finalized, you can save changes, download, print, or share the form as needed.
Complete your documents online for a streamlined and efficient process.
Is het mogelijk de basisverzekering of aanvullende verzekering op te zeggen? U kunt uw zorgverzekering schriftelijk opzeggen. Het opzeggen van zowel de basisverzekering als de aanvullende verzekering moet uiterlijk op 31 december bij ons binnen zijn.
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