Formulaire

Model parental agreement - Residence and access and accommodation (Form 16139*01)

Cerfa 16139*01

  • Public concernéAny parent minor (separated or divorced)
  • Nombre d’étapes3 steps
  • LangueLanguage French

Fill out the form

To whom shall I send this form ?

Comment faire ?

  1. Gather documents necessary
  2. Fill out the form and print it
  3. Send Convention to the competent court, using the application form for approval of the convention

The competent judge is, according to the choice of the parents, that of the place where one or the other resides.

In case of application for maintenance: all documents justifying resources and expenses

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