Form · residents’ registration office · A1 · formal

Registering with the Gemeinde

You have just moved into the Gemeinde and have to register within 14 days. At the counter you are handed this form.

EINWOHNERDIENSTE — ANMELDUNG ZUZUG

Name, Vorname: ______________________
Geburtsdatum: ______________________
Zivilstand: ______________________
Bisherige Adresse: ______________________
Neue Adresse (Strasse, PLZ, Ort): ______________________
Einzugsdatum: ______________________
Krankenkasse: ______________________
Telefon / E-Mail: ______________________
Bemerkungen (z. B. weitere Personen im Haushalt): ______________________

Fill in the form. Write each line with the matching detail — invented details are fine, but they have to fit together.

Length: 25–60 words

These must appear

• Surname and first name
• Date of birth in Swiss format (DD.MM.YYYY)
• New address with street, postcode and town
• Health insurer
• Phone or e-mail