Modèle de document

Apply for the restructuring premium

  • Public concernéCivil servant or contractor in DTA: titleContent of State transferred or moved within the framework of the restructuring of his department
  • CoûtService free
  • Nombre d’étapes5 steps
  • LangueLanguage French

Comment faire ?

  1. Copy and paste the following text in a word processor (you must then place the text of the template by making line breaks as necessary)
  2. Complete the text with your custom information
  3. Print the document
  4. Sign the document
  5. Send the document to your administration Sending by registered letter with acknowledgement of receipt is not mandatory, but should be preferred.

Reminder

When the 2 members of a couple only one of them is entitled to the restructuring premium in full for the same restructuring. The beneficiary shall be the one of them which they shall designate by mutual agreement.

The other member of the couple receives only the part of the premium that depends on the distance between the old and the new administrative residence.

It is recommended to make the 2 requests at the same time.

Répondez aux questions successives et les réponses s’afficheront automatiquement

Single civil servant

[First Name Last Name]

[Personal address]

[Assignment Service]

[Grade]

[City] , the [date]

To the attention of [authority of the restructured service to be appointed]

S/c [of the various hierarchical managers]

Subject: Restructuring premium

[Madame] / [ Sir] / [Quality] ,

In application of the Order of the [date of the order designating the restructuring operation(s) entitling to the restructuring premium and other related premiums in your service] , I am asking for the restructuring premium to be awarded.

I inform you that following the restructuring of my department, I rented a home in [city] from [date] , my family residence residing in [city] .

OR

I inform you that following the restructuring of my department, I moved and established my family residence in [city] from [date] .

Please accept the expression of my distinguished greetings.

Signature

Attachment(s):

  • Copy of the rental agreement for a property near your new administrative residence
  • Or copy of the proof(s) of change of family residence, (rental contract, deed of sale or purchase of a home,...)

Civil servant in a couple without children

[First Name Last Name]

[Personal address]

[Assignment Service]

[Grade]

[City] , the [date]

To the attention of [authority of the restructured service to be appointed]

S/c [of the various hierarchical managers]

Subject: Restructuring premium

[Madame] / [ Sir] / [Quality] ,

In application of the Order of the [date of the order designating the restructuring operation(s) entitling to the restructuring premium and other related premiums in your service] , I am asking for the restructuring premium to be awarded.

I inform you that my husband(s)/Civil partnership partner(s)/partner(s), [sir] / [madam] / [first name of your spouse] waives the entire restructuring premium and only claims the part of the premium that depends on the distance between our old and our new administrative residence.

I inform you that following the restructuring of my department, I rented a home in [city] from [date] , my family residence residing in [city] .

OR

I inform you that following the restructuring of my department, I moved with my husband(s) and we established our family residence in [city] from [date] .

Please agree, [Madame] / [ Sir] / [Quality] , the expression of my distinguished greetings.

[Signature]

Attachment(s):

  • Copy of the rental agreement for a property near your new administrative residence
  • Or copy of the proof(s) of change of family residence, (rental contract, deed of sale or purchase of a home,...)

Civil servant in a couple with child

[First Name Last Name]

[Personal address]

[Assignment Service]

[Grade]

[City] , the [date]

To the attention of [authority of the restructured service to be appointed]

S/c [of the various hierarchical managers]

Subject: Restructuring premium

[Madame] / [ Sir] / [Quality] ,

In application of the Order of the [date of the order designating the restructuring operation(s) entitling to the restructuring premium and other related premiums in your service] , I am asking for the restructuring premium to be awarded.

I inform you that my husband(s)/Civil partnership partner(s)/partner(s), [sir] / [madam] / [first name of your spouse] waives the entire restructuring premium and only claims the part of the premium that depends on the distance between our old and our new administrative residence.

I inform you that following the restructuring of my department, I rented a home in [city] from [date] , my family residence residing in [city] .

OR

I inform you that following the restructuring of my department, I moved with my husband(s) and my children and we established our family residence in [city] from [date] .

Please agree, [Madame] / [ Sir] / [Quality] , the expression of my distinguished greetings.

[Signature]

Attachment(s):

  • Copy of the rental agreement for a property near your new administrative residence
  • Or copy of the proof(s) of change of family residence, (rental contract, deed of sale or purchase of a dwelling,...) and copy of your family record book

Spouse who waives the full premium

[First Name Last Name]

[Personal address]

[Assignment Service]

[Grade]

[City] , the [date]

To the attention of [authority of the restructured service to be appointed]

S/c [of the various hierarchical managers]

Subject: Restructuring premium

[Madame] / [ Sir] / [Quality] ,

In application of the Order of the [date of the order designating the restructuring operation(s) entitling to the restructuring premium and other related premiums in your service] However, I am asking for the portion of the premium that depends on the distance between my old and my new administrative residence.

My husband(s)/Civil partnership partner(s)/partner(s), [sir] / [madam] / [first name of your spouse] seeks the entire restructuring premium.

Please agree, [Madame] / [ Sir] / [Quality] , the expression of my distinguished greetings.

[Signature]

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Verified 26 November 2025 - Public Service / Directorate of Legal and Administrative Information (Prime Minister)