Form for first request - New in Switzerland

Form of adress *

Surname, Name *

Date of birth *

Nationality

Telephone number

E-Mail *

Residence Address

Residence address Postal code and place *

Model for basis insurance (compulsory) - what is important for you: please: please check

First contact always by phone: 24-hour telephone service

First contact always directly with my family doctor/practice: fixed family doctor/practice

Free choice of doctor at every visit

Flexible choice for the first contact: by phone, straight to the doctor, straight to the pharmacy...

Doesn't matter: I just want the cheapest

Do you have more than 1000-1500 CHF medical costs per year?

Nein

I don't know

Please tick if you engage in any of the following activities:

occasionally driving someone else's vehicle

cycling frequently

hunting

riding foreign/rented horses

flying drones

none of them

Would you like to register and insure your current foreign vehicle in Switzerland?

Nein

I don't know

Do you still have a specific concern or specific questions? Let us know:

I agree with the privacy policy *

New in Switzerland?