Single application for a basic retirement pension (paid employment, agricultural, professional, craft, commercial or cultural activity) (Form)
National old-age insurance fundAutre numéro : S 5136i
This form allows you to apply for your basic survivor's pension from a single organization for all of the following activities that your deceased spouse or former spouse performed:
- Employee, head of company, collaborating partner, craftsman, merchant and industrialist, etc. (Pension Insurance)
- Agricultural worker, farm manager or farm company, worker and family helper (MSA: titleContent)
- Liberal professional (CARCDSF, CARMF, Carpimko, CARPV, Cavamac, Cavec, Cavom, CAVP, Cipav, CPRN, Ircec) except lawyer (CNBF)
- Minister of Worship or Religion (Cavimac)
Go to the online administrative form
Verified 27 September 2021 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
- Pension Insurance and Occupational Health Fund (Carsat)
- Mutual Social Agricultural Organization (MSA)
Inter-branch pension and old-age insurance fund (La Cipav)
By mail
Cipav
9 rue de Vienne - 75403 Paris cedex 08
monday to friday from 9:45 am to 4:30 pm
By telephone
Unique number: 01 44 95 68 20
monday to friday from 9am to 4.50pm
Contact the entity in charge of this form
For details, please use the practical information sheets :
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