Formulaire

Application for death capital - General Social Security Scheme (Form)

Allows a person who has lost a loved one, under certain conditions, to claim payment of the death capital.

The form contains a cerfa leaflet no. 50193#05.

    Fill out the form

    To whom shall I send this form ?

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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 09 December 2024 - Directorate for Legal and Administrative Information (Prime Minister)