Formulaire

Application for invalidity pension (Form 11174*05)

Cerfa 11174*05 (S4150)

Allows any person eligible for the invalidity pension to apply to his health insurance fund. Provides access to Package Leaflet 50531#05.

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    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : National Health Insurance Fund (Cnam)

    Verified 10 February 2022 - Directorate for Legal and Administrative Information (Prime Minister)