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A
A
Consumenten
Home
Terug
In the Netherlands temporarily
Terug
Choose your situatie:
Beneficiary
Retiree
Family member of cross-border worker
Student
Tourist
Naar Nederland
Terug
Contact
Terug
Consumenten
To the Netherlands
Claim form
Claim form
You will get an email as soon as we have received your bill. You can submit the original bill up to 3 years following the treatment date or received health care.
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Steps
1 -
Your declaration
2 -
Details bill
4 -
Your contact details
5 -
Overview
Step 1|
5
Your declaration
Your declaration is for
*
Student
Tourist
You have not yet made a choice
Upload a photo or pdf of your international insurance certificate.
Attachments have to meet the following requirements:
The file name does not have characters such as & < > : * % \ ?
The file has the extension pdf, jpg, jpeg of png
Make sure that everything is clearly readable.
You can upload up to 20 MB. Need to upload multiple files, then together they can be no more than 20 MB.
Photo or pdf of your international insurance certificate
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