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Onat vor Beantragung der Leistung zur medizinischen Rehabilitation wurde folgendes Nettoarbeitsentgelt (einschlie lich Kurzarbeitergeld) ausgezahlt: vom - bis Betrag in EUR Das Nettoarbeitsentgelt ist das um die gesetzlichen Abz ge (Lohnsteuer und Kirchensteuer, Solidarit tszuschlag sowie Pflichtbeitr ge zur Sozialversicherung) verminderte Bruttoarbeitsentgelt einschlie lich der Sachbez ge, jedoch ohne einmalig gezahltes Arbeitsentgelt und ohne gegebenenfalls gezahltes Kindergeld. Betr.

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How to fill out the Formular G0161 online

Filling out the Formular G0161 can be a straightforward process if you follow the appropriate steps. This guide will walk you through each section and field of the form to ensure that you complete it accurately and efficiently.

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.

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