Other information and services: www.belgium.be

Notification of a foreign current account for the payment of a benefit

With this form, a foreign current account can be provided for the payment of a benefit by Fedris.

Notification of a foreign current account for the payment of a benefit.pdf

  • Complete section 1, date and sign the form
    (payments are only possible to an account of which you are the (co-)holder).

  • Have section 2 completed by the bank.

  • Attach a bank document clearly showing the account number.

  • Send the original form (no copy) by post to:

 

Fedris
Financial Department
Sterrenkundelaan 1
1210 Brussels
Belgium

The same request form exists also in Italian, Spanish, Portuguese and Polish:

ESP - Pedido de pagamento das indemnizações de acidentes de trabalho na conta bancária aberta no estrangeiro.pdf
POL - Podanie o zapłacenie moich odszkodowań za wypadek przy pracy na mój rachunek bankowy w instytucji finansowej poza Belgią.pdf
ITA - Richiesta di pagamento indennità per infortunio sul lavoro su un conto aperto all’estero.pdf
POR - Solicitud de pago de prestaciones por accidente de trabajo en una cuenta abierta en el extranjero.pdf

See also

GDPR annex – the use of your personal data by Fedris
Back to forms