Life Certificate form
Are you receiving incapacity benefit from the UWV Employee Insurance Agency and you live abroad?
Then each year you will be sent a Life Certificate form in the month your benefit is awarded. After completing the form, please return it to us with a copy of your passport (which must be valid). This will enable us to verify that you are still alive and continue paying your benefit. Have you lost the form? You can download the form here, complete it and return it to us.Life Certificate form