*Mandatory fields
Note: If we have not yet been notified of incapacity for work, the form "Incapacity to work or to earn" must be submitted.
Please note: If the departure is a case of (early) retirement, the flexible retirement form must be used.
Adsress
Account details and contract number
Documents attached:
You can upload documents such as payment slips as a file here.
Note: We need further information from your employee about the use of the termination benefit.
Please give the following form to your employee for further details on the use of the termination benefit. This form must be completed and signed by your employee and then returned to us.
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