Denmark Tax Refund Application

CONTACT DETAILS
( * - mandatory fields )

Title

First Name *

Surname *

Home Address:

Email address *

Phone number *

Line Type *

Country Code *

Area Code *

Phone number *

Please send confirmation via SMS to this number

Date of Birth *

DD/MM/YYYY

Which country are you from? *


What is your Occupation?
How did you hear about our service? *
What is the name of that person/organisation? *
Year of Employment *
If you used a travel agent to fly to Denmark, what was their name?


EMPLOYMENT INFORMATION

Approximate date of arrival in Denmark *	DD/MM/YYYY
Approximate date of departure from Denmark *	DD/MM/YYYY
Your Danish Personal Number/CPR number
Danish Residing Address
How many employers did you work for? *


EMPLOYER 1

Company Name *
Full Business Address


Telephone Number
Fax Number
E-mail Address / Website
Approximate date you began work *	DD/MM/YYYY
Approximate date you finished work *	DD/MM/YYYY
Do you have your Arsopgorelese? *	If yes, please fax, scan and email or post to taxback.com today
Do you have your Oplysningssedel? *
Do you have your employment contract? *
Have you received free food and/or accommodation from this employer *
Holiday period from *	DD/MM/YYYY
Holiday period to *	DD/MM/YYYY


EMPLOYER 2

Company Name *
Full Business Address


Telephone Number
Fax Number
E-mail Address / Website
Approximate date you began work *	DD/MM/YYYY
Approximate date you finished work *	DD/MM/YYYY
Do you have your Arsopgorelese? *	If yes, please fax, scan and email or post to taxback.com today
Do you have your Oplysningssedel? *
Do you have your employment contract? *
Have you received free food and/or accommodation from this employer *
Holiday period from *	DD/MM/YYYY
Holiday period to *	DD/MM/YYYY


EMPLOYER 3

Company Name *
Full Business Address


Telephone Number
Fax Number
E-mail Address / Website
Approximate date you began work *	DD/MM/YYYY
Approximate date you finished work *	DD/MM/YYYY
Do you have your Arsopgorelese? *	If yes, please fax, scan and email or post to taxback.com today
Do you have your Oplysningssedel? *
Do you have your employment contract? *
Have you received free food and/or accommodation from this employer *
Holiday period from *	DD/MM/YYYY
Holiday period to *	DD/MM/YYYY


EMPLOYER 4

Company Name *
Full Business Address


Telephone Number
Fax Number
E-mail Address / Website
Approximate date you began work *	DD/MM/YYYY
Approximate date you finished work *	DD/MM/YYYY
Do you have your Arsopgorelese? *	If yes, please fax, scan and email or post to taxback.com today
Do you have your Oplysningssedel? *
Do you have your employment contract? *
Have you received free food and/or accommodation from this employer *
Holiday period from *	DD/MM/YYYY
Holiday period to *	DD/MM/YYYY


EMPLOYER 5

Company Name *
Full Business Address


Telephone Number
Fax Number
E-mail Address / Website
Approximate date you began work *	DD/MM/YYYY
Approximate date you finished work *	DD/MM/YYYY
Do you have your Arsopgorelese? *	If yes, please fax, scan and email or post to taxback.com today
Do you have your Oplysningssedel? *
Do you have your employment contract? *
Have you received free food and/or accommodation from this employer *
Holiday period from *	DD/MM/YYYY
Holiday period to *	DD/MM/YYYY

I want to provide you with my bank details


Currency of the transfer *
Bank name *
Address of the bank branch *
Branch code *
SWIFT /BIC code *
Personal account number /IBAN for all EU countries/ *
Name of account holder *



Have you also worked in any of the following countries? to select multiple options, hold down the control key while selecting
Did you receive a tax refund?

YOUR FEEDBACK AND ADDITIONAL INFORMATION
Please enter any additional comments and information here:

Please read our terms and conditions and indicate that you accept them in order for your registration to proceed
Yes, I accept the Terms and Conditions *

DON'T FORGET-IMPORTANT!
Once you hit submit you will need to send us your Arsopgorelese and/or Oplysningssedel from each of your employers (if you have them) - see details on the next page.