Všeobecná zdravotní pojišťovna České republiky

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For the insured

Forms to download (copy) to your PC. The forms are available in PDF or MS Excel 95 formats. This form can be completed and printed. To be recognised as valid, it needs to be signed in your own hand and sent by mail, or handed in at your local office of the VZP insurer.

 

VZP can accept forms sent through the VZP Portal. A scanned form with a signature in an image format cannot be accepted as a valid document.

Insured Person’s Notification
Version 1 (pdf, 396 kB) InstructionManual
Health Insurer’s Registration Sheet
Version 1 (pdf, 304 kB) InstructionManual
Declaration of Insured Person’s Long-Term Stay Abroad
Version 1 (pdf, 297 kB) InstructionManual
Application for Inclusion of a Higher Education Degree on One’s Insurance Card
Version 2 (xls, 23 kB) Instruction
Application for Issuing an Overview of Healthcare Data on Behalf of a Minor Insured Person Younger than 15 Years
Version 1 (doc, 30 kB)