Application form for reimbursement of unireso travel passes covered by the State of Geneva (issued in 2024 and valid in 2025) Information to be completed by the reimbursement applicant First name * Last name * Date of birth * Address Address * City * Zip code * Country * - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSarkSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkmenistanTurks & Caicos IslandsTuvaluTürkiyeU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email Email * Confirm your email address * Phone * Reason for reimbursement : Government support Identity card? Sélectionner un fichier I request a refund for my travel pass N° SwissPass client ? After applying for financial support on this link; I meet the requirements for to be covered by the State of Geneva. OR I have a voucher code Voucher code? I request reimbursement for a third party Information about the third party(ies) Number of third parties - Select -12345678 Person 1 First name Last name Date of birth N° SwissPass client? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a voucher code Voucher code? ID of travel pass holder Sélectionner un fichier Person 2 First name Last name Date of birth N° SwissPass client? After applying for financial support at this link link; I meet the requirements for financial support from the State of Geneva. OR I have a voucher code Voucher code? ID of travel pass holder Sélectionner un fichier Person 3 First name Last name Date of birth N° SwissPass client? After applying for financial support at this link link; I meet the requirements for financial support from the State of Geneva. OR I have a voucher code Voucher code? ID of travel pass holder Sélectionner un fichier Person 4 First name Last name Date of birth N° SwissPass client ? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a voucher code Vocuher code? ID of travel pass holder Sélectionner un fichier Person 5 First name Last name Date of birth N° SwissPass client ? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a discount code Voucher code? ID of travel pass holder Sélectionner un fichier Person 6 First name Last name Date of birth N° SwissPass client ? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a discount code Discount code? ID of travel pass holder Sélectionner un fichier Person 7 First name Name Date of birth N° SwissPass client ? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a voucher code Voucher code? ID of travel pass holder Sélectionner un fichier Person 8 First name Name Date of birth N° SwissPass client? After applying for financial support at this link link; I meet the requirements for coverage by the State of Geneva. OR I have a voucher code Voucher code? ID of travel pass holder Sélectionner un fichier Required documentation For minors Family record book/certificate or other official document attesting parental authority Sélectionner un fichier For adults (Child over 18, person without a bank account, person under guardianship) Subscription holder's power of attorney: This document authorizes payment of the refund into the account of a third party: the power of attorney must contain the surname(s) and first name(s) of the subscription holder with his/her signature, and the surname(s) and first name(s) of the bank account holder. Sélectionner un fichier I have attached a copy of my identity card and all documents relating to my application to ensure that my file is processed. Please note! If your application is not complete, it cannot be processed. I consent to the processing of my personal data for the purposes related to the refund and according to the tpg privacy policy Attention! If you do not validate your consent your request cannot be processed. Bank details for reimbursement Account holder : IBAN? * For bank accounts outside Switzerland, a SWIFT or BIC is required: SWIFT/BIC? Last name * First name * Bank name * Captcha Math question * 1 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Cette question sert à vérifier si vous êtes un visiteur humain ou non afin d'éviter les soumissions de pourriel (spam) automatisées.
