Your insurance number doesn't begin with "CC09" or "CC10": Please use the link below to the offline form, which you please fill out and send it to us via fax, e-mail or mail.
Printable forms for simplification of written correspondence
Please use the forms below for cancellations, extensions, direct debit authorizations and declarations of costs in event of claim or illness. This will help to avoid further enquiries and delays. Your questions will be answered within 2 to 3 working days. If you require faster processing, please send the appropriate form by fax: +49 228 97735911 or by e-mail:
as a scanned document with an "Urgent" note.
