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E104 form

maximusm03

Hi everyone.

I am leaving Malta soon and need to provide evidence in Germany that I was state-insured for the last 12 months in order to get a state insurance in Germany.

I've been told that I would need a E104 or S041 form from Malta.

Does anyone know what it is and where I can request it?

Many thanks in advance!

M

See also

The healthcare system in MaltaAccidents and emergencies in MaltaPregnancy in MaltaHealth insurance in MaltaMedicine Pathway to Practice job Without Residency in Malta
robpw2


complete the form above and the address is on the top

maximusm03

Thanks Rob!

Do you know how fast they reply?

robpw2

no sorry , i don't ,

maximusm03

Ok. Thanks for your help anyway Rob!

generousdesignr

The link is broken, Googled a new version:
socialpolicy.gov.mt/en/International-Affairs/Documents/app_eu_form.pdf