DI offices case notification form

Case notification form for DI offices

Standardized form for DI offices with defined benefits and tariff numbers.

Fallmeldeformular IV-Stellen

Customer

DI office

Specialist

Function

Telephone

E-mail

Offer

Support during the application process, tariff number 905.071.5.1

Coaching service, tariff number 905.030.5

Coaching with job placement, tariff code 905.071.5.2

Job coaching / job retention, tariff number 905.071.5.3

Career counseling sessions & analyses, rate code 905.050.5

Client coordinates

Surname / First name

Date of birth

Street / house number

Zip code / City

Telephone

E-mail

Insurance number

Order

Order date

Goal / order formulation

Consultation regarding order

Please call us

Cost approval

Tariff according to service agreement

Hours

or cost ceiling

Appendix

If you would like to send us files, you can upload them here

Upload file

Finalize

I have read the privacy policy and accept it. I agree that my details and data will be collected and stored electronically to answer my request.

Note: You can revoke your consent at any time for the future by sending an e-mail to info@xstanding.ch. Secure e-mail delivery to our e-mail address xstanding@hin.ch at HIN.ch