Fillable Registration of Family Allowance for Employees

Fill Online, Printable, Fillable, Blank Registration of Family Allowance for Employees Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Registration of Family Allowance for Employees

On average this form takes 46 minutes to complete

The Registration of Family Allowance for Employees form is 2 pages long and contains:

  • 0 signatures
  • 5 check-boxes
  • 182 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
AK65_6181 V-1.8 / Edition 2019
Registration of Family Allowance for Employees
This is an application for family allowance birth or adoption allowance differential allowance
1
Information on the applicant
Name
First name
Social Insurance number (NAVS13)
.....................................................................................................
...............................................................................................
.................................................................................
Date of birth
Gender
Nationality
...............................................................
Male Female
..................................................................................................
Civil status
Since (date)
single married separated divorced widowed
registered partnership dissolved partnership
.....................................................
Address: street / no.
Postal code / city
Canton
Availability (phone, e-mail, etc.)
....................................................................................
...............................................................................................
...............
.................................................................................
From when do you apply to
receive an allowance (date) ?
Recipient of IV, ALV, UVG, KTG, maternity benefits?
If YES what benefits from which agency?
NO
YES, since (date) .........................................
...............................................................
...............................................................................................................................................................................................................................
2
Information by the employer on himself and on the applicant
Name
Employment contract
Account number
.............................................................................................................................................
limited
unlimited
..................................................
Address: street / no.
Postal code / city
Canton
Availability (phone number, e-mail etc)
....................................................................................
...............................................................................................
...............
.................................................................................
Employed since
(date)
(to)
Place of work (canton)
Estimated annual salary
..........................................
.........................................
...................................................................
CHF ..............................................................................................
If working for another company at the same time: Name, address, phone no
This income is
in excess of
the one
mentioned above
................................................................................................................................................................
lower than
3
Information on the other parent
In case of remarriage(s) or if you are no longer together with the child's parent, fill in the extra form
Name
First name
Social Insurance number (NAVS13)
.....................................................................................................
...............................................................................................
.................................................................................
Date of birth
Gender
Nationality
...............................................................
Male Female
................................................................................................................................................................
Civil status
Since (date)
single married separated divorced widowed
registered partnership dissolved partnership
.....................................................
Address: street/no.
Postal code/city
Canton
Availability (phone, e-mail, etc.)
....................................................................................
...............................................................................................
...............
.................................................................................
Recipient of IV, ALV, UVG, KTG , maternity benefits?
If YES what benefits from which agency?
NO
YES, since (date): .......................................................
........................................................................................................................................................................................................................................................................................................
YES NO
YES NO
Canton
of work
.................
Who is probably going to earn more
income?
Is there an employment relationship?
If YES, annual income of at least CHF 7’170.–?
If YES: Name, address, phone number of the employer
..............................................................................................................................................................................
Applicant (Figure 1)
Other parent (Figure 3)
Are you covered by a compensation fund as self-employed (SE) or non-employed (NE)?
SE NE
If YES: by which compensation fund? ............................................................................................................................................................................................
IV = Disability insurance ● ALV = Unemployment insurance ● UVG = Accident insurance ● KTG = Health insurance (per diem indemnity)
Delete
Print
Continue >
Page 2/2
Registration of Family Allowance for Employees
10.09.2019
AK65_6181 V-1.8 / Edition 2019
4
Child(ren) up to 25 years of age (for whom a claim is being asserted)
If you need to register more than 5 children, please fill in figure 1 (line 1) and figure 4 on an extra copy of the same form
a) General details
Name
First name(s)
Date
of birth
m / f
Lives in your
household *
Relationship between child
and applicant**
Inca-
pacity to
work
parental
concern
***
YES
NO
L
A
S
P
G
E
1
2
3
4
5
*
NO = Child does not live in same household as applicant: Please add address to the following chart
**
L = Biological child ● A = Adopted child ● S = Stepchild ● P = Foster child ● G = Siblings ● E = Grandchild
***
M = mother ● V = father ● G = common ● A = other
b) Additional information for children in training and/or provided that the child does not live in his/her own household
Educ ation
Annual
income
Pla ce of residenc e of chil d
(street/no. ● postal code/city ● country)
Commencmt
End
Type
Training position
1
2
3
4
5
5
Further information
YES NO
Does (or did) a person draw an allowance for one or several of the children mentioned under figure 4?
If YES, during which time frame? Who and from which compensation fund?
since......................................
to .....................................
.............................................................................................................................................................................................
6
The following documents must accompany the registration (copies)
All
EU/EFTA citizens with children residing
in EU / EFTA member states (except
CH):
Birth certificates of the children and marriage certificate
An up-to-date confirmation of services rendered from
the foreign authorities or a completed E411 form
Documents that are not in one of
Switzerland’s official languages or
in English must be translated
by an acknowledged translator.
Foreign nationals:
Parents: Foreigner’s ID (front and reverse side) and marriage certificate
Children: Foreigner’s ID (front and reverse side)
Single persons:
Acknowledgement of paternity, approved agreement regarding joint custody
Divorced or separated persons:
Excerpt from the divorce decree or decree of judicial separation regarding custody and care
For children over 16 years of age:
Up-to-date authentication of higher education ● Doctor’s certificate for occupational disability
If drawing other benefits:
Authentication of possible alternative care providers (pursuant to figures 1+3)
7
Important note ● Confirmation of registration
Important note
Only those registrations signed and completely filled in and accompanied by all documents/enclosures can be processed.
Employers act at their own risk if paying family allowance before receipt of corresponding allowance decree.
The undersigned individuals confirm:
that they completed the application truthfully;
that only one (full) allowance may be drawn per child;
that they are aware that they may render themselves liable to prosecution through false statements and concealment of facts;
that they are aware that benefits drawn unlawfully must be reimbursed;
that with this registration they commit themselves to immediately notifying their employer, or the compensation fund, respectively, of
any changes in family background that might influence the right to child allowance.
Date, signature of applicant
Date, stamp, signature of employer
.......................................................................................................................................
......................................................................................................................................................
Delete
Print
< Previous page
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Registration of Family Allowance for Employees

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 June 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document