Incident note

Fill in the following fields with your data in order to complete the incident note.

Employer/policy

Employer

Data in processing...

Contact person

   
Data in processing...

Insured person

Personal data

   
Data in processing...

Employment data

Please fill in the correct code for the group of persons (e.g.AAL10) for the insured person according to their current statement.

   
Data in processing...

Salary data

   
Data in processing...

Incapacity to work

The percentage indicates the extent to which they are incapable of work.

PercentageStart dateFinish date
  

   
Data in processing...

Send and Print

          
Data in processing...

Submit attachment

Submit attachment

The document transmission is available only after successful sending of the incident.

User assistance

Do you have any questions regarding insurance your insurance or policy?

Please contact 0844 80 81 88

Do you have any technical questions or problems?

Sunet-Helpdesk: +41 41 455 43 06
(Mo to Fr, 8 a.m. to noon and 1 p.m. to 5 p.m.)

Version: 3011