Kontaktformular mehrsprachig

Contact form

Personal data

Last/Family Name*

First name*

Date of birth*

Shared houshold number

Phone number*

Information

If you would like to apply for Bürgergeld (citizen’s allowance), please use our online form.

Your request concerns the following area:*

Employment agency / Case management

Finance department

Concern/Request:*

You can upload additional documents to your request:

Your consent

I confirm that the information I have provided is correct.*