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E T tigkeit: 1 In die Felder der entsprechenden Kalendertage ist die Anzahl der von der versicherten Person gearbeiteten Stunden einzutragen. F r bezahlte und unbezahlte Absenzen sind die nachstehenden Code zu verwenden: A Krankheit, Unfall, Mutterschaft B Milit r-, Zivil- oder Schutzdienst 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 Besteht ein schriftlicher Arbeitsvertrag? C Andere bezahlte Absenzen D Unbezahl.

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  4. Provide your AHV number in the designated field to ensure proper identification.
  5. Input your postal code, place of residence, street, and house number in the 'PLZ, Wohnort, Strasse, Nummer' section.
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  7. Select your marital status from the 'Zivilstand' options to clarify your personal circumstances.
  8. Detail the occupation you are engaged in under 'Ausgeübte Tätigkeit' and enter the corresponding hours worked for each calendar day as instructed.
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  13. Indicate whether contributions to occupational pensions were made and name the relevant pension insurer.
  14. Complete the sections regarding family allowances, continued employment status, and contract termination reasons.
  15. Conclude by providing the necessary employer information and signing the document in the designated area.
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