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Formuláre

162. Application for refund of social insurance premiums

Application for refund of social insurance premiums, reported on the form Monthly Premiums and Contributions Statement/Premiums and Contributions Statement, that have been paid without legal grounds.

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163. Application for issue of a certificate

Application for issue of a certificate

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164. Basic billing document for health care provider (HCP)

Basic billing document for health care provider (HCP)

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167. Agreement on using the electronic services of Social Insurance Agency for Healthcare providers

Agreement on using the electronic services of Social Insurance Agency for Healthcare providers

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168. Application for determination of applicable Legislation

of a person usually carrying out self-employed activities in two or more EU member States

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169. Application for determination of applicable Legislation

of a person usually carrying out activities as an employee in two or more EU member states

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170. Application for determination of applicable Legislation

of a person, usually carrying out activities as an employed person and activities as a self-employed person in different EU member states

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182. Agreement on using the electronic services of Social Insurance Agency for Healthcare providers

Agreement on using the electronic services of Social Insurance Agency for Healthcare providers

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200. Application for Pregnancy benefit

Application for Pregnancy benefit

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260. Withdrawal of the application for sickness benefit payment-accident surcharge

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