1. Employer
  2. Employee
  3. Suspension of work
  4. Summary

Details of the employer

*Mandatory fields

Details of the employee

Title
Is the insured fully fit for work or capable of gainful employment? A person is considered to have a partial incapacity for work if, at the commencement of the insurance term, he/she has to be fully or partially absent from work for health reasons, is receiving daily sickness benefits as a result of accident or illness, can no longer be fully employed as befits his/her training and skills for health reasons or is disabled within the meaning of the Federal invalidity insurance, accident insurance or military insurance schemes, and/or is drawing benefits from one or more of these institutions (please attach pension decision).

Note: If we have not yet been notified of incapacity for work, the form "Incapacity to work or to earn" must be submitted.

Note: If we have not yet been notified of incapacity for work, the form "Incapacity to work or to earn" must be submitted.

*Mandatory fields

Details of the suspension of work

Is the employee expected to resume work?

Please note: As the employee is leaving the company permanently, his or her departure must be reported using the “Termination of Employment” form.

Please note: The employee’s return to work must be reported using the “Return to work” form.

Please note: The employee’s return to work must be reported using the “Return to work” form.

Confirmation employer

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*Mandatory fields

Summary

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Data protection

All personal data will be processed in accordance with the current legislation:
For compulsory occupational benefits, the data protection regulations of LOB (Art. 85a ff. LOB) apply. The provisions of the FADP apply in addition. The FADP applies to purely supplementary occupational benefits (for information e.g. identity and contact details of responsible persons, processing purposes, etc. please see www.helvetia.ch/privacy).

All personal data will be processed in accordance with the current legislation:
For compulsory occupational benefits, the data protection regulations of LOB (Art. 85a ff. LOB) apply. The provisions of the FADP apply in addition. The FADP applies to purely supplementary occupational benefits (for information e.g. identity and contact details of responsible persons, processing purposes, etc. can be found under the keyword data protection at www.swisscanto-foundations.ch.

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Good to know
Reporting deadline
Definitive departure
Difference between suspension of work and unpaid leave

Download PDF form

You can download a blank form in PDF format via the following link:

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Download PDF form

You can download a blank form in PDF format via the following link:

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