Get Assessment Of Wlz Insurance Position

Completing the Assessment Of Wlz Insurance Position is essential for determining your insurance status under the Long-term Care Act (Wlz). This guide will walk you through each section of the form, ensuring that you provide the necessary information accurately and efficiently.

Follow the steps to fill out the form online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter your personal details in the first section. This includes your surname at birth, forenames, date of birth, gender, street address, postcode, town/city, Burgerservicenummer, daytime telephone number, and email address.
3. If you do not want correspondence sent to your home address, fill out your postal address in the next section. Provide the street name, house number, postcode, and town/city.
4. In the domestic situation section, describe your current living arrangement. Indicate if you are married, unmarried but cohabitating, or living alone, and provide your partner’s name if applicable.
5. Next, specify your accommodation in the Netherlands. Indicate whether your residence is rented or owned, and confirm whether you can access your accommodation at any time.
6. State the reason for your insurance assessment request. Select from options such as living or working in another country and provide the date along with necessary documentation requirements.
7. If studying, fill out information regarding your educational situation, including the name of your course and institution, along with the type of study you are pursuing.
8. Complete the employment details section. Indicate if you are currently employed in the Netherlands, name your employer, and outline specific employment details or obligations.
9. If self-employed, provide relevant details about your business in the Netherlands and any other countries, including registration with the Chamber of Commerce.
10. In the section for working in more than one country, report your work activities across various countries, indicating the percentage of time or hours dedicated to each.
11. Conclude with details on any benefits or pensions received from both Dutch and non-Dutch sources, including the type and frequency.
12. Attach all necessary supporting documents and write any additional remarks in the provided space.
13. Finally, sign and date the form to confirm the accuracy of your information before submission.

Complete your Assessment Of Wlz Insurance Position form online today to ensure your insurance needs are met.