Forms

Here you will find all the important forms for companies to save and print.

Accident notification individual / children / group accident (VVG)
(only available in German)

PDF 155.37 kB
Accident Report (Schadenmeldung)
Form

PDF 106.96 kB
Accident Report (Schadenmeldung und Unfallschein)
Form

PDF 189.75 kB
Accident Report (Unfallschein)
Form

PDF 60.05 kB
Checklist when the empolyee leaving the company
Form

PDF 41.1 kB
Daily allowance card for persons with individual daily allowance insurance
Form

PDF 69 kB
Daily allowance card group daily allowance insurance
Form

PDF 68.59 kB
Exiting Group Daily Allowance Insurance and/or UVG Supplementary Insurance
Form

PDF 78.15 kB
For employers: Bank direct debits (LSV) & Swiss Direct Debit (CH-DD)
Payment authorization with right of revocation for companies

PDF 1.16 MB
Health declaration for Helsana Business Salary/Accident
Form

PDF 667.83 kB
Help sheet: Payroll declaration
Form

PDF 107.98 kB
Minor accident report
Form

PDF 110.1 kB
Order of beneficiaries - lump-sum death benefit
Form

PDF 112.63 kB
Pharmacist's certificate
Form

PDF 42.02 kB
Quotation order form for daily allowance insurance KTG
Form

PDF 134.1 kB
Quotation order form UVG/UVG-Z
Form

PDF 146.13 kB
Sickness and accident notification individual daily allowance
Helsana

PDF 140.91 kB
Sickness notification group daily allowance insurance
Form

PDF 114.63 kB
UVG declaration of professional and regional salary
Form

PDF 608.31 kB

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