Ticket indienen | WorkNed helpdesk

Naam *

Do you have a Dutch passport?

BSN form

Citizen Service Number (BSN)

Gender *

Initial(s) *

First name *

Prefix (if applicable)

Last name

Date of birth *

Marital status *

Nationality *

Preferred language *

Phone number *

E-mail *

Postal code *

House number *

City *

Is your residential address the same as your home address?

Postal code (home address)*

House number (home address) *

Street name (home address) *

Country (home address) *

Are you currently receiving unemployment or social benefits? *

Select ‘yes’ if you are currently receiving money from the Dutch government as compensation for an unemployment situation.

Do you have health insurance? *

Are you under financial guardianship?*

Guardianship is a legal measure for people who are unable to manage their own finances, for example due to a mental disability or an addiction.

Single senior discount applicable? * *

Do you want us to apply the wage tax credit? *

Select ‘yes’ if this is your only job or if this is the highest-paying job among multiple jobs you have at the same time.

Payroll frequency *

Have you worked for another employment agency in the past 52 weeks? *

Start date *

Please indicate the start date of your previous temporary employment contract here

End date *

Please indicate the end date of your previous temporary employment contract here

How many weeks did you work for another employment agency?

How many contracts did you have with that employment agency?

Photo of your bank card *

Make sure your name and IBAN number are clearly visible.

Photo of your ID (front side) *

Note: this may not be a driver’s license. Make sure all corners are clearly visible in the photo

Photo of your ID (back side) *

Note: this may not be a driver’s license. Make sure all corners are clearly visible in the photo

Upload proof of BSN

This is stated on a letter from the Tax Authorities or on your ID/passport

Photo of your health insurance card

Note: make sure all corners are visible in the photo.

I agree to the Algemene Voorwaarden and the Privacy Statement van WorkNed.

I give permission for WorkNed to store my profile and personal data for up to 12 months, so that I can also be contacted for future job opportunities or assignments.

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