Formulaire

Social and Financial Diagnosis (FSD)

Cerfa 16227*02

  • Social Worker or lawyer belonging to a designated body (e.g. department departments, Caf, Adil), and in charge of establishing the social and financial diagnosis relating to the tenant, within the framework of a legal proceedings for rental eviction in the event ofunpaid
  • 6 steps
  • Language French
  • No later than 5 working days before the date of the hearing, the completed form (and possibly completed with the tenant's supporting documents) must be sent to the judge and to the Ccapex: titleContent

Fill out the form

To whom shall I send this form ?

Comment faire ?

  1. If necessary, contact a lawyer (for example, an Adil lawyer) to fill in the parts of the form that require legal expertise, including section 4 on the debt statement.
  2. Suggest to tenant one or more interviews, in particular to obtain evidence of his situation to be attached to the form
  3. Contact the landlordso that he may comment, if he so wishes
  4. Fill in the form online
  5. Download the form
  6. Transmit to judge and to the CCAPEX the form completed and completed with the tenant's credentials, no later than 5 working days prior to the date of the court hearing.

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Verified 21 September 2026 - Public Service / (Prime Minister)