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Business Solutions - M2H: Useful documents

                                                                                                 In this section, you can find an overview of useful documents. You can download this documents in your preferred language the first of September 2006.

  • Request for Proposal Individuals

          Application Form Individuals

          Modification Form Individuals

          Proposition affiliation modification indiv._FR

          Voorstel aansluiting wijziging indiv._NL

          Request application modification indiv._ENG

  • Request for Proposal Companies

          Application Form Companies

          Modification Form Companies

          Proposition affiliation - modification collec._FR

          Voorstel aansluiting - wijziging coll._NL

          Request application - modification coll._ENG

  • Health Short Declaration
  • Medical Questionnaire

          - Déclaration de santé pour couverture invalidité_FR

            Gezondheidsverklaring dekking invaliditeit_NL

            Health declaration for application of disability cover_ENG

          - Medical Questionnaire - soins de sante_FR

            Medische vragenlijst - medische zorgen_NL

            Medical Questionnaire - medical care_ENG

  • Claim Form Health/Accident/Disability
  • Claim Form Travel Assistance Cancellation/Interruption/ Baggage
  • Attestation Sleeper

          Attestation Sleeper_FR

          Attest Sleeper_NL

          Attestation Sleeper_ENG

  • Attestation Health Fund

          Attestation Health Fund._FR

          Attest Health Fund._NL

          Attestation Health Fund._ENG



 
 
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