Formulaire
Single application for basic retirement for permanent incapacity of occupational origin
Where can I get information
If the Retirement Insurance has recognized your permanent incapacity for - or occupational disease
Regional Pension Fund (Cnav, Carsat, CGSS or CSS)If the AMM has recognized your permanent incapacity for - or occupational disease
Agricultural Social Mutuality (ASM)If the Cavimac has recognized your permanent incapacity for
Old-age, disability and cult sickness insurance fund (Cavimac)
Ce formulaire concerne :
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Verified 25 August 2025 - Directorate of Legal and Administrative Information (Prime Minister)
Comment faire ?
Whatever your situation, you must attach the following 3 documents:
Depending on your situation, you may have other supporting documents to attach. The details are on page 4 of the form.