Get Claim Form (pdf-document, 256 Kb)

This guide provides a clear step-by-step approach to filling out the Claim Form electronically. Ensuring that you accurately complete each section will help facilitate the review process by the relevant agency.

Follow the steps to complete the Claim Form successfully.

1. Press the ‘Get Form’ button to access the Claim Form and open it in your preferred PDF editor.
2. Begin by entering your surname and first name in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in your personal identification number, formatted by year, month, day, and additional number.
4. Provide your address in Sweden, including postal code and city. If you have a mailing address abroad, fill in that information as well.
5. Enter your contact numbers, including telephone and mobile, ensuring to include any dialing codes where applicable.
6. Indicate the insurance period by specifying the start and end years. This helps clarify the timeframe of your claim.
7. Select the manner of payment by entering your bank account details, including clearing number, account number, and bank name.
8. Record the event details: date, time, place, and country of the incident. This information is critical for processing your claim.
9. Clearly describe the nature of your claim in the provided space. Include specifics related to any accidents and ensure to attach a doctor’s certificate if needed.
10. List all costs associated with your claim, ensuring you attach original receipts. Specify the cause of each expense and the total claimed amount.
11. If applicable, provide details for property claims under FAS+, including a list of items, purchase information, and attached receipts.
12. Complete the University College’s certification section by obtaining relevant signatures and printed names.
13. Affix your own signature to affirm the accuracy of the details filled in, along with the date and place.
14. Before finalization, review the entire form to ensure all sections are duly filled out and correct.
15. Save the completed form. You may then download, print, and send it by mail to the appropriate address specified.

Take the first step and fill out the Claim Form online to ensure all necessary information is submitted.