CHIS – Uniqa forms
All information is provided in the above link – French version also available.
Please find here below forms to use for medical expenses reimbursement requests
BROKEN IMAGE NOT MOVED (drupal url : https://sy-dep-bi.web.cern.ch//content/chis-uniqa-forms)
– English version: Uniqa – Claim for the reimbursement of medical expenses.pdf
BROKEN IMAGE NOT MOVED (drupal url : https://sy-dep-bi.web.cern.ch//content/chis-uniqa-forms)
– French version: Uniqa – Demande de remboursement des frais médicaux.pdf
– Electronic submission: myUNIQA | UNIQA Suisse
Other CHIS Forms
Please find here other CHIS forms (claiming for reimbursement)
Non-occupational accident declaration
Occupational accident declaration
CERN certificates
You can submit one of the following certificates to your doctor: