Formulaire

Declaration of income and paid employment (orphan of at least 21 years of age with a disability who applies for an invalidity pension following the death of a military parent) (Form 17574*01)

Cerfa 17574*01

Declaration to be completed by an orphan child aged 21 years or over with a disability who applies for a disability pension following the death of a military parent

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    Émetteur du formulaire administratif : Ministry of Defense

    Verified 15 April 2025 - Directorate for Legal and Administrative Information (Prime Minister)