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Full legal name (given names + surname) Required Date of birth Required Format: DD/MM/YYYY 🔒 Stored encrypted; only used to generate your draft. Birth name (if different from current surname) Optional Place of birth Optional Country of birth Optional Gender Required Nationality / citizenship Optional Residential address (street, postal code, city, country) Required Phone number Optional Pension insurance number (Rentenversicherungsnummer / RV-Nr.) Required 12-character code in the format 12 010558 W 567. It appears on every DRV letter and on your Sozialversicherungsausweis. If unknown, the number can be looked up via your Steuer-ID. 🔒 Stored encrypted; only used to generate your draft. Tax identification number (11 digits) Required 🔒 Stored encrypted; only used to generate your draft. Which pension type are you applying for? Required Regelaltersrente is the default once you reach the standard retirement age (67 for cohort 1964 and later). Choose one of the early-retirement variants if you meet the corresponding waiting-period requirement. Full pension (Vollrente) or partial pension (Teilrente)? Required Vollrente is 100% of your entitlement. With a Teilrente (e.g. 50%) you can keep working and earn more on top of your pension without it being reduced. Partial-pension percentage (10–99) Optional Desired pension start (month and year) Required The pension is paid from the month in which the entitlement requirements are first met. If you apply late, the pension can be backdated by up to three months. Format: DD/MM/YYYY Marital status Required Is this application being filed by a legal guardian, custodian, supervisor, or authorised representative? Optional Did you move to Germany from abroad? Optional Date of move to Germany Optional Format: DD/MM/YYYY Country you moved from Optional Should the pension be paid to a bank account in Germany? Optional Bank name Optional Did you have periods of unemployment (with or without ALG payments)? Optional Did you have caregiver periods for relatives? Optional Did you have school or university education periods after age 17? Optional Did you have insurance periods abroad? Optional Did you have child-raising periods (Kindererziehungszeiten)? Optional Number of children Optional Are you already receiving another pension (e.g. survivor's pension, accident-insurance pension)? Optional Are you currently receiving Arbeitslosengeld I (insurance-based unemployment benefit)? Optional Are you currently receiving Krankengeld (sickness benefit)? Optional Do you receive a company pension (Betriebsrente) or other Versorgungsbezüge? Optional Name of your statutory health insurer (Krankenkasse, for KVdR) Required Are you covered by the statutory health insurance (GKV)? Optional Are you covered by private health insurance (PKV)? Optional Has a severe disability (GdB ≥ 50) been formally established? Optional 🔒 Stored encrypted; only used to generate your draft. Degree of disability (Grad der Behinderung) Optional 🔒 Stored encrypted; only used to generate your draft. Did you have a workplace accident, commuting accident, or any other compensable injury? Optional Date of the event Optional Format: DD/MM/YYYY Do you prefer an accessible decision format? Optional Place of signature Optional Date of signature Optional Format: DD/MM/YYYY

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