Write to us

Are you a customer of Danica? * Yes No

Name *

Civil reg. (CPR) no *

Country code *

Telephone number *

E-mail *

Policy number

I wish to… *

Topic *

Did you know that your payment for treatment by chiropractor, physiotherapist or psychologist may be reimbursed by Sygeforsikringen “danmark”? To learn more Click here

Did you know that you can quickly file a claim here?

Bikort eller Hovedkort *

Secondary tax card
Primary tax card
Voluntary tax rate - do you want to increase your tax rate?

When will your employment end? *

Full or partial return to work? *

Full
Partial

Date of full or partial recovery *

Current working hours per week *

What is your current occupation *

Do you want to continue your pension contributions? * Yes No

For how long do you want to postpone your payout? *

When do you want to terminate your insurance cover? *

I accept that not all insurance covers can be freely changed and that Danica Pension may retrieve new health information if the insurance cover is to be resumed. Any direct debit (PBS) agreement will also be terminated.

When do you want to terminate your insurance cover? *

I accept that not all insurance covers can be freely changed and that Danica Pension may retrieve new health information if the insurance cover is to be resumed. Any direct debit (PBS) agreement will also be terminated.

I am only taxable in Denmark * Yes No

I am taxable in USA * Yes No

I am taxable in other countries * Yes No

Address - Please fill this out if you have changed address

I am a primary citizen of *

I am a secondary citizen of

Comments

I am aware that I must inform Danica Pension if I become liable to pay tax in countries other than Denmark or if I change address.

I am aware that tax liability to another country may arise by, for example

- to be born in another country
- to have citizenship of another country
- to have an address in another country
- to own property in another country
- to have income, interest or the like from another country.

I am aware that I must inform Danica Pension if I become liable to pay tax in countries other than Denmark or if I change address.

Browse or Drag and Drop your files Total Files size max. 34 MB. File types: Word, Excel, PDF, TXT, JPG and PNG.

Write to us

Did you know that your payment for treatment by chiropractor, physiotherapist or psychologist may be reimbursed by Sygeforsikringen “danmark”? To learn more Click here

Did you know that you can quickly file a claim here?

You must choose 'yes' to being taxable in either Denmark or abroad

Uploaded files

A good pension scheme makes your company an even more attractive workplace.

+45 45 13 17 17

+45 45 13 17 17

+45 70 10 92 09

+45 45 13 12 30

Personal

Business

Write to us

Did you know that your payment for treatment by chiropractor, physiotherapist or psychologist may be reimbursed by Sygeforsikringen “danmark”? To learn more Click here

Did you know that you can quickly file a claim here?

You must choose 'yes' to being taxable in either Denmark or abroad

Uploaded files

A good pension scheme makes your company an even more attractive workplace.

+45 70 10 92 09

+45 45 13 12 30