Submission of your invoices for your employer-financed supplementary insurance (only for treatments abroad)

Please complete the following form and submit it together with your invoice. Please note that a form must be completed and submitted for each invoice.

Submission form English
PDF 

Submission form Spanish
PDF 

Submission form French
PDF 

Submission form Italian
PDF 

Submission form Russian
PDF 

Submission form Portuguese
PDF 

Submission form Turkish
PDF