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 86.36 KB
Accident Report (Schadenmeldung)
Form

PDF 104.45 KB
Accident Report (Schadenmeldung und Unfallschein)
Form

PDF 185.3 KB
Accident Report (Unfallschein)
Form

PDF 58.64 KB
Checklist when the empolyee leaving the company
Form

PDF 40.14 KB
Daily allowance card for persons with individual daily allowance insurance
Form

PDF 40.89 KB
Daily allowance card group daily allowance insurance
Form

PDF 58.11 KB
Exiting Group Daily Allowance Insurance and/or UVG Supplementary Insurance
Form

PDF 71.13 KB
For employers: Bank direct debits (LSV) & Swiss Direct Debit (CH-DD)
Payment authorization with right of revocation for companies

PDF 34.71 KB
Health declaration for Helsana Business Salary/Accident
Form

PDF 120.86 KB
Minor accident report
Form

PDF 107.52 KB
Pharmacist's certificate
Form

PDF 41.04 KB
Quotation order KTG
Form

PDF 649.3 KB
Quotation order UVG/UVG-Z
Form

PDF 166.43 KB
Sickness and accident notification for insured persons with individual daily allowance insurance
Form

PDF 124.2 KB
Sickness notification group daily allowance insurance
Form

PDF 97.12 KB
UVG declaration of professional and regional salary
Form

PDF 589.7 KB

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