Please note: fields marked with an asterisk (*) are mandatory.
You are about to complete the Application Form for Childcare Allowance Social Medical Indication (SMI) part 2.
Make sure you have your social security number handy.
Once you have completed and submitted the form, it will be received by Team Samenleving (Team Society). They will process your application.
You complete part 2 of the application after your interview at VraagWijzer.
