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Public health insurance
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Personal liability insurance
Household contents insurance
Pet Insurance
Dog liability insurance
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Questionnaire
Personal Information
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General Information
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Co-insurance for Dependents:
Your Public Health Insurance
Occupation:
Annual Gross Income:
Number of Children:
Age:
Insurance company:
Techniker Krankenkasse
Personal Information
Your First Name:
Your Last Name:
Your Birthdate:
Your Nationality:
Country of Birth:
Place of Birth:
Do you have a German address?
Yes
No
If you do not currently have a German address, we will use your employer's c/o address instead.
All documents will be sent to this address, as well as to you by e-mail. As soon as you have an address in Germany, you can inform TK of this by e-mail.
Postal Code:
City:
Street:
House number:
Additional Information (C/O, Apartment, ...):
Employer's Information
Name of your Employer:
Postal Code:
City:
Street:
House number:
Your Gender:
Male
Female
Your Email Address:
In which country did you live before you came to Germany?
Did you have Health Insurance coverage before you came to Germany?
Yes
No
Name of previous health insurance company:
Insurance status was:
Public
Private
From:
To:
Shall we apply for your TK Health Insurance card?
If yes, please upload a portait photo of yourself (neutral background, no headwear or sunglasses).
Please fill in all required fields.
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