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Get Questionnaire To Form E106/s1/s072

Gemeinsame Einrichtung KVG Institution commune LAMal Istituzione comune LaMalQuestionnaire to form E106/S1/S072 Please complete the questionnaire in block letters and sign it on the second page. Please.

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How to fill out the Questionnaire To Form E106/S1/S072 online

This guide provides clear, step-by-step instructions on how to effectively fill out the Questionnaire To Form E106/S1/S072 online. By following this guide, you can ensure that the information you provide is accurate and complete.

Follow the steps to successfully complete the questionnaire.

  1. Click ‘Get Form’ button to obtain the questionnaire and open it in the editor.
  2. Begin by entering your surname and first name in the designated fields. Ensure that you use block letters as instructed.
  3. Fill in your date of birth, address, postal code, and town. If this is your first questionnaire, also include your date of settlement in Switzerland.
  4. Enter your 13-digit Swiss social security number, followed by your telephone number and email address.
  5. Provide your bank details, including IBAN, BIC, name, and address of your bank. If the account holder is different from the above information, please fill out that section accordingly.
  6. Indicate your civil status by checking the appropriate box, and specify information about any studies, if applicable.
  7. For each family member, including spouse/partner and children, provide their details such as name, date of birth, and social security number if required. Complete all relevant sections carefully.
  8. Review your responses for accuracy and completeness. You must sign the questionnaire on the second page after completing all the necessary information.
  9. Once you have filled out the form, you can save your changes, download a copy, print it for your records, or share it as necessary.

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