Please answer all questions completely and accurately.
Format: 123.45.67.890.1
If unemployed or if no longer gainfully employed as an employee (e.g. following a vacation, stay abroad, continuing education)
Format: 09:30
Type (e.g. bicycle, moped, motorcycle, car)
By which of the insurances listed below are you insured against accidents, whether mandatory or supplementary, and to what extent?
Coverage as per UVersG/OUFL