Formulaire

Application for a temporary education pension or a life annuity for disability following the death in service of a contract agent of the State or a State worker (Form 17446*01)

Cerfa 17446*01

This form allows you to apply for a temporary education pension or a disability annuity following the death in service of a public contract agent of the State or a State worker.

This form and supporting documents (listed on page 2) are to be sent to the human resources branch of the deceased officer's employer.

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    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : State Pension Service (SRE) - Ministry of Public Finance

    Verified 24 March 2025 - Directorate for Legal and Administrative Information (Prime Minister)