Get Model 74ter

The Model 74ter is an important form used for declarations regarding sickness or disability benefits. This guide provides detailed instructions to help users effectively fill out the form online, ensuring all necessary information is correctly submitted.

Follow the steps to complete the Model 74ter online.

1. Press the ‘Get Form’ button to access the Model 74ter form and open it in the designated editor.
2. Enter your national number in the appropriate field at the top of the form.
3. In the next section, declare your intention to waive sickness and disability benefits starting from the date of your pension. Provide the specific date in the format of day, month, and year.
4. Authorize the Rijksdienst voor Pensioenen to withhold any benefits received since your pension start date from the arrears of your pension.
5. Fill in the place and date where the form is prepared at the bottom of the first page.
6. Sign the form, and provide your first name and last name, along with your street address, postal code, municipality, and country.
7. Ensure that you have the Attest over de ziekte- of invaliditeitsuitkeringen filled out by your health fund.
8. Verify all information entered is accurate before proceeding to save your changes, print the form, or share it as required.

Complete your documents online today to ensure a smooth submission process!