Icherung Versicherte ab Hinweis: Die folgenden Daten werden zur Auszahlung Ihrer Bez ge ben tigt. Die Rechtsgrundlagen, nach denen die Daten erhoben werden, entnehmen Sie bitte den Informationen zum Datenschutz unter https://lbv.landbw.de/das-lbv/kontakt/datenschutz. Sofern die Angaben freiwillig sind, ist dies im Vordruck vermerkt. 1 Zutreffendes bitte ankreuzen Pers nliche Angaben Name Vorname Geburtsdatum Telefon (Angabe freiwillig) 2 oder ausf llen Personalnummer/Arbeitsgebiet.
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How to fill out the DE Baden-Wurttemberg LBV 499a online
The DE Baden-Wurttemberg LBV 499a form is essential for applying for a subsidy for nursing insurance contributions. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently.
Follow the steps to successfully complete the DE Baden-Wurttemberg LBV 499a form online.
- Click the ‘Get Form’ button to access the form and open it in the editor.
- Begin by marking the applicable box for your personal information. Fill in your name, first name, and date of birth where indicated.
- Optionally, enter your telephone number. This information is not mandatory.
- Provide your personnel number and work area as required in the relevant fields.
- Indicate your insurance status. Confirm if you are voluntarily insured under the statutory health insurance within the social nursing insurance by checking the relevant boxes linked to your insurance provider.
- Sign the declaration of obligation, verifying the accuracy and completeness of your information. A handwritten signature is required on the form.
- Finally, review all entries for accuracy and completeness. You may now save your changes, download a copy, print the form, or share it as needed.
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