Formulaire

Application for assistance by the holder of an early retirement pension or a survivor's pension paid by the Social Security

Cerfa 13679*02 (S5183a)

Allows the holder of an early retirement pension, or a survivor's pension, paid by the Social Security to apply for the Supplementary Invalidity Allowance (Asi).

Access to the explanatory note n°51272*02.

    Fill out the form

    To whom shall I send this form ?

    For details, please use the practical information sheets :

    J'ai réalisé une démarche administrative

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

    Émetteur du formulaire administratif : National Old-Age Insurance Fund

    Verified 30 March 2026 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)