E104 form

Hi everyone.

I am leaving Malta soon and need to provide evidence in Germany that I was state-insured for the last 12 months in order to get a state insurance in Germany.

I've been told that I would need a E104 or S041 form from Malta.

Does anyone know what it is and where I can request it?

Many thanks in advance!

M

https://secure3.gov.mt/socialpolicy/adm … u_form.pdf
complete the form above and the address is on the top

Thanks Rob!

Do you know how fast they reply?

no sorry , i don't ,

Ok. Thanks for your help anyway Rob!

The link is broken, Googled a new version:
socialpolicy.gov.mt/en/International-Affairs/Documents/app_eu_form.pdf