Formulaire

Application for Family Support Allowance (FSA): Child Collected (Form 12038*03)

Cerfa 12038*03 (S7136e)

To get the form, click first to select your situation and then your place of residence.

This form also gives you access to the cerfa forms:

  • n°11423*06 status statement (to be completed for application),
  • and n°14989*02 of supplementary application for third-party collectors.

    Fill out the form

    To whom shall I send this form ?

    Contact the entity in charge of 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 Fund for Family Allowances (Cnaf)

    Verified 16 September 2019 - Directorate for Legal and Administrative Information (Prime Minister)