Antrag auf Leistungen nach dem Asylbewerberleistungsgesetz (AsylbLG)

09631/88-0

Mo. bis Fr. von 9:00 bis 12:00 Uhr Donnerstag 14:00 - 16:00 Uhr

sozialamt@tirschenreuth.de

Application for granting of benefits according to the German Asylum Seekers Benefits Act (AsylbLG)

Schritt {1} von {2}

Applicant

Other persons

Housing circumstances

Miscellaneous

DE | EN | RU

This online application for asylum seeker benefits can only be submitted as an initial application by Ukrainian refugees.

Authentication for the online service (e.g. using a BayernID) is not required yet. This will be done at the personal visit to the district office.

In addition to the applicant, all other persons living in the household must also be specified. This information can be entered under step 2 "Additional persons". For each additional person, the form can be expanded with the green "+ add more".

An application is necessary for:

Single person
married couple
adult "children"

Minor children do not need to submit a separate application, but must be entered in the parent's or parent's application as "additional person".

Personal circumstances applicant

Anrede

First name*

Name*

Date of Birth*

Birthplace

Nationality*

Martial status*

since

Adresse

Zip Code*

City*

Street*

Number*

Phone

E-Mail*

Financial circumstances and assets of the Applicant

no income

Wage/salary€

Employer

Income from self-employment€

Cash€

Savings and bank deposits€

Other assets with exact designation

Other persons in the household

relation to applicant

Anrede

First name

Name

Date of Birth

Birthplace

Nationality

Martial status

since

Financial circumstances and assets

no income

Wage/salary€

Employer

Income from self-employment€

Cash€

Savings and bank deposits€

Other assets with exact designation

housing circumstances

number of persons in the home

living spacem²

thereof subletm²

total cost€

Net rent€

service charges€

heating costs€

Are costs for water heating included

yes

no

income from subletting€

Sonstiges

Have you already received benefits according to the AsylbLG?*

Ja

Nein

from

to

Government agency

monthly travel expenses to the workplace€

Upload

bank details

Bank

IBAN

Notes and Declaration

I hereby confirm that the above statements are true an complete and that I have not concealed anything. I hereby expressly confirm having been informed oft he fact that I must immediately notify, without being requested to do so, the authority granting the benefit of any change in the family, income and financial circumstances, temporary absence from the place of abode and periods spent in hospital (including those of household members). I am aware that incorrect and incomplete statements, in addition to failure to notify of any changes may result in my being required to reimburse any benefits unduly received. I shall likewise immediately report taking up any empolyment, including occasional work, etc., before starting work, at the latest however within 3 days of commencing employment. *

I accept the privacy policy*

Signature*