CHIS - Uniqa forms

Monday, August 28, 2023 - 09:45


 CHIS claiming reimbursement

All information is provided in the above link - French version also available.

Please find here below forms to use for medical expenses reimbursement requests

- English version: Uniqa - Claim for the reimbursement of medical expenses.pdf

- 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:

Illness (EN)

Maladie (FR)


Examination/Treatment (EN)

Examen/traitement (FR)


Illness of a close relative (EN)

Maladie d'un proche de la famille (FR)