Formulaire

Application for an allowance for asbestos workers, employees and former employees suffering from an occupational disease (Form 11690*02)

Cerfa 11690*02 (S6115b)

Allows employees and former employees recognized as suffering from an occupational disease caused by asbestos and aged at least 50 by the General Health Insurance Scheme to apply for an early retirement allowance for asbestos workers (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)