To apply, complete the Application form for voluntary income protection coverage. You will need a DigiD account to do this.

We will confirm that we have received your application within a few days of you submitting the form.

You will need the following when completing this form:

• your citizen service number
• your bank account number

Please note: If you provide home help (‘dienstverlener aan huis’) or offer housekeeping services for the elderly or people with disabilities (‘alfahulp’), and you work less than 4 days a week, make sure you have the details of the families you work for close to hand. You will need this information when completing the form.

If you would like someone else to manage your voluntary income protection coverage, you can authorise them to do this.