Request for Entitlement to remain insured in Malta

Form A1

 

IRU - A1

Personal Detail of the Holder

Gender

Address in Country of Residence

The address in which the applicant habitually resides and where the habitual centre of interests is to be found. This is normally the address on you Identity Document.

Address in Country of Stay

The address in which you will be temporarily residing and the applicant intends to return to his/her place of residence as soon as the duration of the activity in the other Member State is terminated.

Member State legislation which applies

Period of posting in the other Member State.

Details of Employer / Self Employment

Is this your first time applying?
Employment type
Nature of activity
A “posted worker” is an employee who is sent by his employer to carry out a service in another EU Member State, or a self-employed person carrying out a service in another EU Member State on a temporary basis.

Registered Address

Details of Employer / Self Employment where an activity is pursued

Is address fixed in State(s) of (self) employment?

Necessary Documents

Maximum upload size: 5MB
Maximum upload size: 5MB
Maximum upload size: 5MB