Follow the steps to successfully fill out the Formular G0161 online.

1. Press the ‘Get Form’ button to obtain the form and open it for completion.
2. Identify the Versicherungsnummer (insurance number) section, and enter the number if known.
3. In the Kennzeichen (reference number) field, provide any known reference numbers.
4. For the ‘Bescheinigung des Arbeitgebers zum Antrag auf Befreiung von der Zuzahlung’ (employer's certificate for exemption from co-payment), ensure you have this document ready as it needs to be referenced.
5. Fill in the name and first name of the insured person in the ‘Versicherte / Versicherter (Name, Vorname)’ field.
6. Enter the date of birth of the insured individual in the Geburtsdatum (date of birth) section.
7. Provide the employment income received in the month prior to applying for rehabilitation services. Specify the date range in the ‘vom - bis’ section.
8. State the amount in EUR under the specified section, ensuring it is calculated as net income after legal deductions.
9. If applicable, specify any necessary deductions due to individual obligations that were withheld.
10. Lastly, include the location, date, signature, and stamp from the employer in the designated area.
11. Once finished, you can save changes, download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth process.