Formulaire

Temporary degressive allowances agreement - Employee's membership form

Cerfa 12625*01

  • Employee of private law licensed for one economic motive
  • Service free
  • 5 steps
  • Language French

Fill out the form

To whom shall I send this form ?

Comment faire ?

  1. Download the form
  2. Print the form
  3. Fill in the information requested
  4. Sign the form
  5. Transmit the form at DDETS: titleContent

  • Copy of pay slips of the 12 months preceding the termination of the employment contract or one state certified by the employer
  • Postal or bank identity statement
  • Copy of new employment contract

Please note

With each payment of the allowance, the employee must send to the DDETS: titleContent a copy of the pay slips received in the new job or a statement certified by the new employer.

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Verified 29 May 2026 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)