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Antrag für die Wertmarke mit den Merkzeichen G, Gl, aG (Beiblatt zum Schwerbehindertenausweis)

Landesamt für Gesundheit und Soziales Berlin (Versorgungsamt)DE-BEFillable in the browser

Antrag für die Wertmarke mit den Merkzeichen G, Gl, aG (Beiblatt zum Schwerbehindertenausweis) is an official form from Landesamt für Gesundheit und Soziales Berlin (Versorgungsamt). It applies in Berlin.

You can fill in the PDF directly in your browser and then print or save it. It has 1 page.

The official source (Versorgungs- / Integrationsämter (Teilhabe)) and the exact version date are listed below.

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Source
Versorgungs- / Integrationsämter (Teilhabe)
Fetched on
15/07/2026
SHA-256
cd7829e16f005d15…
Fill it hereGo to the official form (source)Open in Formularamt

What this form asks for

A selection of the fields this form asks for, so you know what to expect before you start.

  • Geschäftszeichen*
  • Vorname*
  • Name*/ Namenszusatz
  • Geburtsdatum*
  • Datum Unterschrift/Dienstsiegel/Behördenstempel
  • Datum/ Unterschrift Anwalt
  • Datum/Unterschrift
  • von
  • bis
  • dem Zweiten Buch-Sozialgesetzbuch – (SGB II)
  • dem Zwölften Buch-Sozialgesetzbuch – (SGB XII §§ 27-40)
  • dem Zwölften Buch-Sozialgesetzbuch – (SGB XII §§ 41-45)
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Frequently asked questions

Is this form free to use?

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Where does this form come from?

This form comes from Landesamt für Gesundheit und Soziales Berlin (Versorgungsamt). Source: Versorgungs- / Integrationsämter (Teilhabe), fetched on 15/07/2026. We mirror it unchanged (byte-identical) and always link back to the authority.

Can I fill in this form directly in the browser?

Yes. This PDF is a real form with fields, so you can fill it in here in the browser, save it and print it. Your entries stay on your own device.

Does Werkzeu.ge replace the authority or professional advice?

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Where do I submit this social benefit application?

Responsible is usually the office that issues the form - here Landesamt für Gesundheit und Soziales Berlin (Versorgungsamt). Which documents you need to attach is stated in the form itself or in the authority's information sheet.

How up to date is this form?

Last checked on 15/07/2026. Forms still go stale and authorities change their processes without notice - if in doubt, the version on the official source counts.

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