Formulaire

Request for reimbursement of salaries maintained for the exercise of the functions of trade union advocate

Cerfa 15856*03

  • Employer of private law
  • Service free
  • 8 steps
  • Language French

Fill out the form

Comment faire ?

  1. Fill the form
  2. Print the form
  3. Specify the name and the quality of the employer on the form
  4. Put the stamp of the company on the form
  5. Sign the form
  6. Have signed the form by the union advocate
  7. Attach the documents requested
  8. Transmit the form at the Payment and Services Agency
Who shall I contact

Répondez aux questions successives et les réponses s’afficheront automatiquement

1st request and in case of change of situation

  • Extract from the national register of companies or extract from the business of less than 3 months
  • Copy of the declaration receipt of the association to the prefecture or the professional identity card if necessary
  • Bank or postal identity statement of the beneficiary employer
  • Copy of the corresponding employee's pay slip at month of the request

For any request

Copy of the corresponding employee's pay slip at month of the request

The package leaflet 52245#03 outlines the process to be followed.

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Verified 11 May 2026 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)