Hauptantrag Bürgergeld (HA) – Antrag auf Bürgergeld nach dem Zweiten Buch Sozialgesetzbuch (SGB II) Completed Form Examples and Samples
Find comprehensive examples and samples of the filled-out Hauptantrag Bürgergeld (HA) form. Our page provides detailed templates (Muster) for various life situations to help you correctly complete your application for Bürgergeld according to the SGB II.
Hauptantrag Bürgergeld (HA) Example – Single Parent with One Child
How this form was filled:
This is an example of a completed Hauptantrag Bürgergeld (HA) for a single mother who recently became unemployed. The form includes her personal details, information about her child living in the same household (Bedarfsgemeinschaft), and details regarding her housing costs. No income or significant assets are declared, as she is applying for the first time due to job loss.
Information used to fill out the document:
- Case: Single mother, one child, first-time application
- Applicant Name (Antragstellerin): Anna Müller
- Date of Birth: 10.05.1996
- Address: Musterstraße 12, 12345 Berlin
- Nationality: Deutsch
- Marital Status: Ledig (Single)
- Household Member (Child): Leon Müller
- Child's Date of Birth: 15.06.2021
- Reason for Application: Arbeitslosigkeit (Unemployment)
- Bank Name: Musterbank
- IBAN: DE89 3704 0044 0532 0130 00
- BIC: COBADEFFXXX
- Basic Rent (Kaltmiete): 450,00 €
- Heating Costs (Heizkosten): 80,00 €
- Application Date: 15.01.2026
What this filled form sample shows:
- Accurate completion of Personal Data for the applicant (Section 1).
- Correct inclusion of a child as a member of the household community (Bedarfsgemeinschaft) (Section 2).
- Detailed breakdown of housing and heating costs (Kosten der Unterkunft und Heizung - KdU) in Section 3.
- Clear declaration of having no income or assets, which is crucial for a first-time application due to job loss (Sections 4 and 5).
- Properly signed and dated application, confirming the accuracy of the provided information.
Form specifications and details:
| Use Case: | First-time application for Bürgergeld for a single parent with one minor child. |
| Form Name: | Hauptantrag Bürgergeld (HA) – Antrag auf Bürgergeld nach dem Zweiten Buch Sozialgesetzbuch (SGB II) |
| Issuing Authority: | Bundesagentur für Arbeit / Jobcenter |
| Relevant Law: | Zweites Buch Sozialgesetzbuch (SGB II) |
| Categories: | ACH forms |
| Created: | February 05, 2026 09:34 PM |