Formulaire

Application for authorization to carry out the activity of a delegate for family benefits on an individual basis (Form 14009*01)

Cerfa 14009*01

Form to be sent to the prefect of the department in which you wish to carry out your activity. Send a copy by registered letter with notice of receipt to the public prosecutor of the court in the capital of this department

    Fill out the form

    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

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

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Labor

    Verified 06 October 2021 - Directorate for Legal and Administrative Information (Prime Minister)