Change of address or name

Metadata

User Id

Form Uuid

Language

Webmail2Id

mailTo

Cc

Bcc

formType

resourceDownloadUrl

onServer

The modification applies to

single person

whole family

single person moving away from home

Your old address

Title

Mr.

Mrs./Ms.

First name

Surname

Street, n°

Postcode

Town

Date of birth

Insurance number

You will find your insurance number on the back of your health insurance card or on your insurance policy. Your insurance number has at least 10 and maximum 11 digits.

Your new address

Title

Mrs./Ms.

Mr.

First name

Surname

Street, n°

Postcode

Town

Phone

E-mail

Modification valid from

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This website uses cookies for functionality and user behaviour (as well as other purposes) on the website. By using this website, you agree and consent to the collection of your personal data. Please read our further information at Privacy Policy.

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