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Injury

Application for benefits for certain critical illnesses

Fill out the claim form electronically here. You must have an email address to complete the claim.

See more about the process and how we can help you here.

You sign your claim form with your MitID.

We care about your personal data

Velliv processes your personal data. You can read more about how we process your personal data at www.velliv.dk/personaldata under the tab “Privacy Policy”. Here, you will find a detailed description of all the purposes for which we process your personal data and your rights.

If you would like to receive a printed version of the privacy policy, please contact us on +45 70 33 99 99 or write to us at www.velliv.dk/contact – and we will send you a copy.

About the form 

You fill in the form via a secure connection on the platform of our business partner, Addo Sign. Addo Sign has the same obligations as we do with regard to the processing of sensitive personal data. Read more about the security of Addo Sign.

  • Certain critical illnesses

    • Send your journal information to us
    Here you will find a guide on how to find and save your medical records and test results on sundhed.dk, and how to upload them to us.

    In this way, we can process your claim and the information at the same time, and you will therefore get a decision from us faster.

    Power of attorney

    You can find our power of attorney form if you need to give your power of attorney to another person, regarding to your case.