Formulaire

Support for workshop and insertion site (ACI) (Form 12612*03)

Cerfa 12612*03

Form annexed to the agreement concluded between the State and the supporting structure of the workshop(s) or insertion site(s).

Ensures payment of the aid by the Payment and Services Agency (PSA).

    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 30 November 2021 - Directorate for Legal and Administrative Information (Prime Minister)