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Withdrawal of an application for basic income support

Erklärung der Antragsrücknahme (Grundsicherungsgeld)

If you applied for basic income support (formerly Bürgergeld) and no longer need it – for example because you found a job – this form officially withdraws your application.

Who needs it?

Anyone who applied for basic income support and wants to withdraw the application before the Jobcenter decides.

Where to submit?

To your Jobcenter – via the online mailbox at jobcenter.digital, by post or in person.

Tips

• A withdrawal cannot be undone. If you need help again later, you must apply again. • From then on the Jobcenter no longer pays your health insurance – contact your health insurer. • The form is valid without a signature.

Jobcenter · 1 pages · 10 questions · Form version: 07/2026 · arbeitsagentur.de

All questions in the form

  1. A. Personal details

    First nameVorname
  2. Last nameNachname
  3. Date of birthGeburtsdatum (TT.MM.JJJJ)
  4. StreetStraße
  5. House numberHausnummer
  6. PostcodePostleitzahl
  7. Town/cityWohnort
  8. Customer number (if known)Kundennummer (soweit bekannt)
  9. B. Withdrawal of the application

    Enter the date on which you submitted the application.

    Date of applicationAntragsdatum (TT.MM.JJJJ)
  10. Benefit unit number (if known) – printed on Jobcenter lettersNummer der Bedarfsgemeinschaft (soweit bekannt)

General help with filling in forms, not individual legal advice. Free advice centres in your city can help with questions.

Withdrawal of an application for basic income support · MitBlick Lotse