Get De Aok De015 2012-2025

The DE AOK DE015 form is essential for applying for prevention care benefits. This guide will provide you with clear and structured instructions on how to complete the form online, ensuring you can effectively apply for the support you need.

Follow the steps to fill out the DE AOK DE015.

1. Click the ‘Get Form’ button to obtain the DE AOK DE015 form and open it in your editor.
2. Begin by entering the name and first name of the insured individual in the designated fields.
3. Fill in the birth date of the insured person accurately.
4. Provide the street address and house number where the insured individual resides.
5. Enter the insured person's identification number in the specified section.
6. Complete the postal code and residence city fields.
7. If applicable, include a contact number in the provided field.
8. Indicate the type of prevention care you are applying for by selecting either 'hourly prevention care' or 'daily prevention care'.
9. In the next section, specify the reason for the caregiver's inability to provide care, such as 'due to vacation', 'due to illness', or 'other reasons'.
10. State how long you have been cared for by the named caregiver.
11. Provide the name and address of the caregiver responsible for providing care at home.
12. Specify the timeframe during which the prevention care will be conducted.
13. Indicate whether the care will be provided by a professional caregiver or a private person, and fill in their details accordingly.
14. Answer the questions about your relationship with the private caregiver, their living situation, and any incurred expenses.
15. Finally, sign and date the form in the designated area, ensuring all provided information is accurate.

Complete your DE AOK DE015 form online to secure your prevention care benefits.