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Health insurance allowance (zorgtoeslag)

How does the health insurance allowance application process work?
1. Prepare your documents
2. Fill in the form
3. Pay and submit
Your details
Full name*
First name Last name
Date of birth*
DD ukośnik MM ukośnik RRRR

Select a date
BSN (Sofi) number*
Phone number*
Email address*
Enter email address Confirm email address
Address*
Street Building number Apartment number
Postal code and city*
Postal code City
Country*
Exact period of insurance in the Netherlands
From*
DD ukośnik MM ukośnik RRRR

Please select a date
To*
DD ukośnik MM ukośnik RRRR

Please select a date
From when do you want to receive the health insurance allowance?*
DD ukośnik MM ukośnik RRRR

Please select a date
Please upload your health insurance policy*
Upuść pliki tutaj lub

Maks. rozmiar pliku: 64 MB.
Please upload Jaaropgave documents or your latest payslip (salaris)*
Upuść pliki tutaj lub

Maks. rozmiar pliku: 64 MB.
Health insurance allowance*
Cena:
Summary
Statement*
I declare that I have read and understood the Terms and Conditions and Privacy Policy of Tax & Advice, acknowledge their contents, and agree to receive email communications.
Confirmation*
I confirm that all information provided in this form is true and accurate and complies with the applicable legal and factual status.
Consent*
I consent to the performance of the service before the expiry of the withdrawal period for a distance contract.
Total
0,00 €