Need a certificate about your occupational disease?

Please fill in the following form and make sure all the required fields (marked by an *) have been filled in. We will send you the certificate by post mail.

As a result of the new European Union General Data Protection Regulation (GDPR), Fedris would like to inform you of how it processes your personal data and of your rights in relation to this data.

(without spaces)
Type of certificate
I would like to know the amounts
(amount without comma)
(for instance 2016)
I would like to know the amounts
(amount without comma)
(for instance 2016)