Formulaire

Application for an allowance for employees and former employees of establishments manufacturing or processing asbestos (Form 11687*02)

Cerfa 11687*02 (S6112b)

Allows employees and former employees of asbestos-containing material manufacturing establishments and asbestos flocking and insulation establishments aged 50 years or older to apply for the Asbestos Workers Early Termination Allowance (Acaata).

Access to the cerfa explanatory note n°50788#03.

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

    Verified 21 December 2020 - Directorate for Legal and Administrative Information (Prime Minister)