Formulaire

Application for conversion of a permanent incapacity pension into a capital or a reversible annuity on the head of the spouse (general scheme) (Form 12045*01)

Cerfa 12045*01 (S6102a)

Allows the insured person under the general social security scheme to request the conversion of a permanent incapacity pension into a capital or a reversible pension on the head of the spouse.

    Fill out the form

    To whom shall I send this form ?

    Contact the entity in charge of this form

    For details, please use the practical information sheets :

    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 : National Health Insurance Fund (Cnam)

    Verified 28 March 2022 - Directorate for Legal and Administrative Information (Prime Minister)