Tax return Insurance premium
Download
You can read the PDF file by using Adobe Reader. This program can be downloaded from Adobe. The Tax and Customs Administration is not responsible for the installation and use of the reader.
You can use this form to file an insurance premium tax return.
Completing instructions
You can complete this form on your PC. For this you will require Adobe Reader version 9.0 or higher. Once you have completed the form, you can print it and send it.
Return address
Please return the completed and signed form to the address stated in the form.
Problems with completing the form?
It is best if you complete the form on a computer. We cannot guarantee a proper functioning on a tablet or smart phone.
If you are unable to complete the form on your computer, you should first save the form. You can do so by right-clicking on the link of the form and selecting 'Save target' (this term may differ per browser).
