Get Ameli Formulaire 750

The Ameli Formulaire 750 is essential for individuals experiencing changes in their professional situation that require updates to their health insurance coverage. This guide provides clear, step-by-step instructions to help users complete the form online effectively.

Follow the steps to fill out the Ameli Formulaire 750 online.

1. Click the 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling in the identification section. Enter your social security number, complete name, date of birth, address including postal code, and municipality. Also, provide your phone number.
3. In the section regarding your previous situation, indicate if you were changing your social security regime or the organization from which you received health benefits. Specify if you benefit from an invalidity pension or an accident at work/illness allowance.
4. Next, address your new situation. Indicate your current employment status such as employee, public function agent, or other situations. Provide the start date as needed.
5. You will also need to describe your personal situation. Indicate if you have a partner, spouse, or dependent who is requesting a regime change as well.
6. Complete the declaration of honour. Affirm the accuracy of the information provided. Include the date and sign where prompted.
7. If you have minor children under your care, ensure to fill out an additional S3705 form as required. This form can be accessed online or requested from your health insurance organization.
8. Finally, review all the information for correctness and completeness. Save your changes, and choose to download, print, or share the form as necessary.

Start completing your Ameli Formulaire 750 online today to ensure your health coverage is up to date.