Get Uniqa Cern

Filling out the Uniqa Cern form is an important step in claiming reimbursement for medical expenses under the CERN Health Insurance Scheme. This guide will provide you with clear instructions to ensure your submission is accurate and complete.

Follow the steps to fill out the Uniqa Cern form effectively.

1. Press the ‘Get Form’ button to access the Uniqa Cern form and open it for editing.
2. Begin by entering your surname and first name in the designated fields. Ensure the information matches your identification documents.
3. Input your insurance number (CHIS ID No.) found on your insurance card.
4. Select the case related to your claim by ticking only one box, such as 'Illness,' 'Accident,' or 'Maternity.' If claiming for an accident, be sure to include the required additional documentation.
5. Choose the appropriate benefit category from the list provided. This specifies the medical expenses being claimed, such as 'Doctors' fees' or 'Dental care.' Ensure that each line reflects a different claim category if applicable.
6. Indicate the amount of expenses related to each benefit category selected.
7. Provide the date of the medical service in the format DD/MM/YYYY.
8. Print your full name and sign in the signature section to authenticate the submitted information.
9. Once all sections are completed, review your entries for accuracy. You can then save your changes, download the completed form, and either print it for submission or share it electronically with the appropriate address.

Complete your Uniqa Cern claims form online today for a smoother reimbursement experience.