Get E106 Form

The E106 Form is essential for Norwegian workers residing in another EEA country or Switzerland. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring you can access necessary health services in your current country.

Follow the steps to successfully fill out the E106 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section labeled 'Opplysninger om søkeren', enter your first name, last name, and birth number or D-number. Provide your nationality, phone number, and email address. Additionally, fill in any address in Norway and your address in the country where you are working.
3. Continue by entering your employer's name and address along with their organization number. Specify the start date of your work in the EEA country and the expected end date.
4. In the next section, indicate any accompanying family members you support. For each person, provide their first name, last name, and date of birth.
5. In the 'Nødvendig dokumentasjon som skal vedlegges' section, mark the box confirming you have attached a copy of your work contract for the period abroad or a confirmation of your stay from your employer.
6. Finally, proceed to the signature section where you must confirm that you are employed solely by a Norwegian employer and that the information provided is accurate and complete. Include the date and your signature.
7. Once all sections are complete, you can save your changes, download, print, or share the form as needed.

Complete your E106 Form online today to ensure you receive your entitled health services!