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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal details in the 'Personalien' section. Ensure you write in block letters for clarity. Include your name, date of birth, nationality, and residence information.
Provide your employment details under 'Letzter Arbeitgeber'. Fill in the employer's name, address, and contact information accurately.
Indicate whether a written contract existed and detail the termination of employment. Specify who terminated the contract and provide relevant dates.
Answer questions regarding your work capability and any current income from self-employment or other sources. Attach necessary documentation as indicated.
Complete sections about dependents and any third-party management of income or assets. Be thorough to avoid delays in processing.
Finally, review all entries for accuracy before signing and dating the form at the bottom. Ensure all required documents are attached.

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