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Information for registration


Swedish Social Insurance Agency
0771-524 524
www.forsakringskassan.se

Swedish personal ID number

Please send the form to:

Frskringskassans inlsningscentral
839 88 stersund

For the Swedish Social Insurance Agency to be able to assess whether you shall be registered in the social
security system you have to fill in this form.
At www.forsakringskassan.se you will find information on how to fill in the form.

1. Information about you


Swedish personal ID number or co-ordination number

First name and last name


Delivery address in Sweden

Single

Postal code and place

Married or registered partner

2. Information about your citizenship

Divorced

Cohabitee

Fill in one of the lines below. Then proceed to point 3

I am a Swedish citizen
I am a citizen of

Finland

Denmark

Iceland

Norway

State country

I am an EU/EEA citizen
State country

I am a citizen of a country outside the EU/EEA

3. Do you live in Sweden?

Fill in one of the lines below. Then proceed to point 4

No
State country

Yes. I have lived in Sweden and worked in


Yes. I have
moved to
Sweden

Date of entry

I will be staying in Sweden

no longer than one year

more than one year

State country

Social insurance number

Before I moved to Sweden I lived in


State country

From (date)

I will live in Sweden but work in


Is your purpose of stay in Sweden to study?
No
I will study in Sweden from (date)

Yes

I have a study grant for research students

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4. Are you working or are you planning to work in Sweden?


No. Proceed to point 5
From (date)

Yes

I am employed

I work as a seaman

I am self-employed. My job duties:


I am looking for work in Sweden
From (date)

Until (date)

I was delegated to work in Sweden


by a state employer
by a private employer
as a diplomat
Employer's or own company's name

Employer's or own company's name

Delivery address

Delivery address

Postal code, place and country

Postal code, place and country

Company registration no

Tel. no. incl. area code

Company registration no.

Tel. no. incl. area code

5. Information about earlier work in another country


Specify country

Last working day (date)

My social insurance no. in that country

My last job was in

6. Do you have a family?


No, I am single. Proceed to point 7.
Spouse or cohabitee - first name and last name

Yes, I have a family. Please fill in below.


Personal ID number or
birth date

Accompanying Not accompanying Already living here

Children - first name and last name

* If you have more children you can provide information about them in point 9 under Further information

7. Do you have income from any other country in the EU/EEA?


No. Proceed to point 8
Yes

Salary

Unemployment benefit

Pension

Other compensation

Parental benefit

Sickness benefit

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8. What appendices must be enclosed?


If you have any of the documents mentioned in the list
below, please send them together with this form
Copy of a decision concerning a work permit
Copy of a decision concerning a residence permit
Documents confirming that I have right of residence
(refer to information on the right hand side)

Copy of the Swedish Migration Board's decision


concerning permanent right of residence
Certificate A1 or E101 (if you were delegated to work in
Sweden from an EU/EEA country or Switzerland)

Certificate S1 or E121 (if you are receiving a pension form


an EU/EEA country or Switzerland)

Copy of an employment contract (if you are employed)

If you have received a decision granting you a work


permit or a residence permit, you must send those in if
you are a citizen of a country outside the EU/EEA.
What is right of residence?
EU/EEA citizens wishing to stay in Sweden longer than
three months must apply for a residence permit or the
right to register their residence. The Swedish Migration
Board makes decisions concerning residence permits
and permanent right of residence.
If you have right of residence, you shall attach copies of
documents showing how you support yourself, e.g.
employment contract
registration certificate for your business and
proof that you run the business
pension statement from another country
payment notices
account statement from the bank

Registration certificate for your business and other documents


indicating that you run the business (if you are self- employed) Read more about right of residence in the Information on
how you download and fill in our forms (Information om
Certificate of a study grant (if you are a research student)
hur du laddar ner och fyller i vra blanketter) at www.
forsakringskassan.se.

9. Further information
You can provide information here about, for example, if you have more children than those
listed in point 6.

I provide information in
an appendix

10. Signature
To the best of my knowledge and belief, the details I have given in this form are correct and
complete. I will notify Frskringskassan of any change in this information.
I am aware that it is a punishable offence to provide incorrect information, to withhold any
information or not to notify Frskringskassan when information which I have provided hanges.
Date

Phone number daytime

Phone number evening

Signature

The information is processed by the Swedish Social Insurance Agency's data system. Read more in the brochure "Personal Data File of the
Swedish Social Insurance Agency" (Frskringskassans personregister).

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