Formular 2 Antragsstrecke public health general information

General Information

75%

Your Public Health Insurance

Employment Status:

Annual gross income:

Number of Children:

Age:

Insurance company:

Techniker Krankenkasse

Your main occupation in Germany?

Is this your first employment in Germany as an employee?

Yes

When have you been in Germany before?

What was your occupation during that time?

How were you insured during that time?

Your agreed annual income before taxes:

Your start date of employment:

Are you currently under public health insurance in Germany:

Yes

Who is your German employer:

What is your job title:

Are you currently receiving any money from a pension fund (state or non-state pension)?

Yes

Please fill in all required fields.