Change address for place of residence

Address

You can use the form below to report a change of home address. Do you have any further questions or need advice? Our SWICA staff would be happy to assist you. SWICA's customer service line is also there for you outside normal office hours and at the weekend.

Toll free number 0800 80 90 80
Offices

Insurance no. *

Surname *

First name *

Date of birth *

Email *

My previous place of residence address

Street/no. *

Town *

Postcode *

My new place of residence address

Adress addition

Street/no. *

Town *

Postcode *

Phone *

My correspondence address has also changed *

Yes

Name/company

Address addition

Street/no. *

Town *

Postcode *

Phone

Effective from *

This change also affects other family members *

Yes

Surname and first name

Comments

* Compulsory field

Change address for place of residence

Contact and call-back service

24h customer service

Telemedicine santé24