Formulaire

Notice of work stoppage (Form 10170*07)

Cerfa 10170*07

Specimen.

For his approach, the employee uses the form provided by the doctor. Access to package leaflet n°50069#06.

Please note

accident at work since 7 may 2022, a merger of the various forms used to prescribe work stoppages (illness, occupational disease, follow-up, extension, etc.) has been carried out. The reporting and investigation rules remain unchanged. It's always given to the health care professional after you've given it to them.

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    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.

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

    Verified 12 May 2023 - Directorate for Legal and Administrative Information (Prime Minister)