Formulaire

Application to refer the matter to the court - Social security and social assistance litigation

Cerfa 15980*04

  • Any person wishing to bring an action before the judicial tribunal, in particular challenge on the application of Social Security legislation
  • You have to pay a tax stamp from €50 to bring your claim to court, unless you are a beneficiary oflegal aid
  • 4 steps
  • Language French

Fill out the form

To whom shall I send this form ?

Comment faire ?

  1. Print the form
  2. The fill by hand
  3. The date and sign
  4. Send or drop it to the judicial tribunal

The notice no. 52284#04 outlines the process to be followed.

Ce formulaire concerne :

J'ai réalisé une démarche administrative

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

Je donne mon avis

Verified 15 September 2026 - Public Service / (Prime Minister)