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  3. You will then need to provide your personnel number and work area. Ensure these details are accurate, as they are important for processing your application.
  4. In the insurance information section, indicate whether you are a voluntary member of the statutory health insurance. If applicable, specify your insurance provider such as a local health insurance fund or others listed.
  5. Attach proof of your insurance coverage. This could be documentation from your health or care insurance provider, which confirms your insurance status.
  6. In the obligation declaration section, affirm the accuracy and completeness of your information by agreeing to the statement provided. This confirms your responsibility to report any changes in your insurance status.
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DE Baden-Wurttemberg LBV 499a Form

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