Formulaire

Application for a survivor's pension and an education pension or disability following the death of a public official, a magistrate or a serving military officer

Cerfa 12231*09

This form allows you to apply for a survivor's pension from the State Pension Service (SRE) and the Public Service Additional Pension (RAFP).

In summary:
  • Surviving spouse or divorced a deceased civil servant, magistrate or military officer, orphan under 21 years of age or disabled over 21 years of age of a deceased public servant or member, legal representative of a minor child or of an adult incapacitated person
  • Service free
  • 5 steps
  • Language French

Fill out the form

Comment faire ?

  1. Fill the online form
  2. Download the form
  3. Print it
  4. The sign
  5. Send it the personnel management service of the deceased State official, magistrate or military officer, accompanied by documents to be attached

The evidence to be provided varies depending on your relationship with the deceased public servant, magistrate or member:

Répondez aux questions successives et les réponses s’afficheront automatiquement

Widow, widower or divorced

  • Photocopy of your family record book (or extract from your birth certificate) or photocopy of your national identity card or passport and copy of your spouse's birth certificate and excerpt from your marriage certificate and death certificate or copy of your spouse's death certificate)
  • Your spouse's death certificate (or copy of the death certificate) or copy of the birth certificate of the civil servant, magistrate or member with mention of the death)

Orphan under 21 or disabled over 21

Photocopy of the parents' family record book (or extract from your birth certificate) or photocopy of your national identity card or passport and copy of the birth certificate of the deceased parent)

One package leaflet is available on pages 4 to 8 of the form.

Ce formulaire concerne :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

Je donne mon avis

Verified 28 April 2026 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)