Incident note

Fill in the following fields with your data in order to complete the incident note.

Employer & Policy

Employer

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Policy information


   
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Contact person

After submitting the incident note, the contact person receives an e-mail with a link for subsequent document transmission (e.g. for medical certificates).

   
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Bank account

   
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Company details

   
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Insured person

Personal data

   
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Personal details

   
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Employment data

   
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Working time

   
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Basic contractual wage

   
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Further social insurance

Does the insured person receive a daily allowance or a pension?

   
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Parenthood

Incapacity to work

   
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Work resumption


   
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Comment

Comment for insurance

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Send and Print

          
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Information regarding Data Privacy is available under the following link: Privacy Policy

Submit attachment

Submit attachment

The document transmission is available only after successful sending of the incident.

Information regarding Data Privacy is available under the following link: Privacy Policy

Help for use

Do you have technical questions about completing the claim?
Sunet-Helpdesk +41 41 455 43 15
(Mo-Fr, 8am till 12pm und 1pm till 5pm)


Do you have questions about reporting an accident or illness?
+41 800 955 000

Version: 25180