Formulaire

Application for membership of the National Military Social Security Fund (CNMSS) as a military orphan (Form 12622*04)

Cerfa 12622*04

Contains an explanatory note.

    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.

    Émetteur du formulaire administratif : National Military Social Security Fund (CNMSS)

    Verified 11 December 2019 - Directorate for Legal and Administrative Information (Prime Minister)