← Ziektewet-uitkering (ZW)

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Full name Required BSN (Citizen Service Number) Required 🔒 Stored encrypted; only used to generate your draft. Date of birth Required 📅 Format: DD/MM/YYYY 🔒 Stored encrypted; only used to generate your draft. Home address in the Netherlands Required Reason you have no employer Required — Uitzendkracht Ww ontvanger No employer at sick Freiwillig verzekerd zzp No fault termination First day of illness Required 📅 Format: DD/MM/YYYY Nature of illness Required 🔒 Stored encrypted; only used to generate your draft. Last employer's name (if any) Optional Last day worked (if applicable) Optional 📅 Format: DD/MM/YYYY Average SV daily wage (€) Required Your average insured daily wage (loon SV); UWV uses it to calculate 70% of your benefit. 🔒 Stored encrypted; only used to generate your draft. Illness related to pregnancy? Required — Yes No

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Private Buronia help — not a government service. UWV (Uitvoeringsinstituut Werknemersverzekeringen) ↗