Incapacity for work - Overseas Social Security

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Would you like to apply for an intervention because you have become incapacitated for work or disabled? Send us the correctly filled-in certificate and application form.

Please note! You should notify us at all times of any change in your situation to stay insured properly. Please check the page Report any change in your personal or professional situation.

Medical certificate(.pdf-New window)
Forms:
- For private individuals:
  - Claim for payment of sickness and disability insurance benefits (model 1)(.pdf-New window)
  - Declaration of honour (model 2) for private individuals(.pdf-New window)
- For employers:
  - Claim for payment of sickness and disability insurance benefits (model 1)(.pdf-New window)
  - Declaration of honour (model 2) for employers(.pdf-New window)