Application form S1 form One or more of the requested fields are empty. Please fill out these fields. An S1 statement is intended for people who live in an EU country, EEA country or Switzerland and work in the Netherlands. By completing this form, do you declare that your address abroad is your home address? Yes No You cannot request an S1 statement. If the address abroad is not your home address, you are entitled to Dutch health insurance and an S1 statement is not required.
