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The document is a short application form for health care benefits under the civil service regulations in Brandenburg, Germany. It outlines the necessary steps and requirements for submitting a claim, including deadlines, required documentation, and conditions for eligibility. The form also addresses changes in personal circumstances since the last application and provides sections for detailing expenses related to medical services.

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Click ‘Get Form’ to open the Kurzantrag auf Beihilfe in der beamtenrechtlichen Krankenfürsorge in the editor.
Begin by entering your personal information, including your name, date of birth, and contact details. Ensure that all entries are clear and legible.
Indicate whether you are submitting this application for the first time or if there have been changes since your last application. If there are changes, specify them in the provided section.
If applicable, provide details regarding any expenses related to accidents or other damaging events. Select the appropriate options and include any necessary documentation.
Complete the financial sections by indicating if you are claiming expenses for a spouse and providing their income details as required.
Review all entered information for accuracy before signing. Ensure that you understand your obligations regarding any misstatements.
Once completed, save your form and submit it electronically through our platform for free.

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