Notice of incapacity for work - Fondation BCV deuxi me pilier 2026

1. Begin by clicking ‘Get Form’ to open the Notice of incapacity for work in our editor.
2. Fill in the employer's details, including the policy number and company name. Ensure accuracy as this information is crucial for processing.
3. Next, complete the member section with your last name, first name, AVS number, date of birth, and home address. Double-check for any typos.
4. If applicable, list your children’s names and dates of birth. Remember to attach any required certificates for children aged 18 or older.
5. Indicate the starting date and cause of your incapacity for work. Provide details about family allowances and your annual reference salary at the time of incapacity.
6. Document the duration of your incapacity by specifying percentages and relevant dates in the provided sections.
7. Complete the doctor(s) section with their names and addresses. This information is essential for verification purposes.
8. Answer questions regarding insurance claims and provide necessary details about other employers if applicable.
9. Finally, ensure all required documents are enclosed before signing and dating the form at the bottom.

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