Please enter your full name
Please enter your date of birth
Please enter your pension insurance number (see further information by clicking on "Help")
Please draw your signature
We will contact the Pension Insurance and perform the refund calculation for you. This service is free of any cost for you.
For legal reasons, we have to demonstrate that we ask on your behalf. Thus, we kindly ask you to sign here. This will not trigger any cost or liability for you.
IMPORTANT: Please make sure that your last name can be recognized in your signature
Draw your signature by holding the left mouse button or by touching the canvas.