Formulaire

Medical expertise - increase for constant assistance from a third party (Form 13975*02)

Cerfa 13975*02

Helps the management department determine whether the disability and its consequences justify the benefit of a surcharge for constant assistance from a third party.

    Fill out the form

    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Finance

    Verified 17 November 2021 - Directorate for Legal and Administrative Information (Prime Minister)