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HOME > NHIED Others > Download

Application Forms Pamphlets
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Application Forms
 
  • NHI 1~3 Category Enrollment/Withdrawal Application NHI 1~3 Category Enrollment/Withdrawal Application(word);Open in new windows.NHI 1~3 Category Enrollment/Withdrawal Application(pdf);Open in new windows.
  • NHI IC Card Application Form NHI IC Card Application Form(word);Open in new windows.NHI IC Card Application Form(pdf);Open in new windows.
  • Category Six Insured Person's Alteration Application Form Category Six Insured Person's Alteration Application Form(word);Open in new windows.Category Six Insured Person's Alteration Application Form(pdf);Open in new windows.
  • Application Form for Reprinting Personal Information on NHI ProgramApplication Form for Reprinting Personal Information on NHI Program(word);Open in new windows.Application Form for Reprinting Personal Information on NHI Program(pdf);Open in new windows.
  • Category Six Insured Person's Supplemental Discontinuity Transferring-in/out Application Form Category Six Insured Person's Supplemental Discontinuity Transferring-in/out Application Form(word);Open in new windows.pdf;Open in new windows.
  • Category six Insured Person's Withdrawal Application Form Category six Insured Person's Withdrawal Application Form(word);Open in new windows.Category six Insured Person's Withdrawal Application Form(pdf);Open in new windows.
  • Category Six Insured Person's Insurance Application Form Category Six Insured Person's Insurance Application Form(word);Open in new windows.Category Six Insured Person's Insurance Application Form(pdf);Open in new windows.
  • Category Six Insured Person's Suspension/Resumption Application Form
    Category Six Insured Person's Suspension/Resumption Application Form(word);Open in new windows.Category Six Insured Person's Supplemental Discontinuity Transferring-in/out Application Form(pdf);Open in new windows.
  • National Heath Insurance Catastrophic Illness Certificate Application Form
    National Heath Insurance Catastrophic Illness Certificate Application Form(word);Open in new windows.National Heath Insurance Catastrophic Illness Certificate Application Form(pdf);Open in new windows.
  • Instructions for NHI Prepaid Medical Expense Refund Application Form Instructions for NHI Prepaid Medical Expense Refund Application Form(word);Open in new windows.Instructions for NHI Prepaid Medical Expense Refund Application Form(pdf);Open in new windows.
 
 

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All Contents Copyright 2009 東區業務組 Bureau of National Health Insurance - Eastern Division, ROC
Address: No. 36 Suanyuan Road, Hualien City [ MAP ] Tel: +886-3-8332111 Fax: +886-3-8332011 Email: nhi@mail.nhieb.gov.tw
Business hours: 08:30-17:30, Monday-Friday Closed on Saturdays, Sundays and public holidays(card replacement available at lunch time)