Formulaire

Proof of domicile (persons without permanent residence or homeless persons) (Form 16030*01)

Cerfa 16030*01

This form is reserved for residential organizations.

It must be printed and given to the person domiciled.

    Fill out the form

    To whom shall I send this form ?

    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.

    Émetteur du formulaire administratif : Ministry of Social Affairs

    Verified 11 October 2021 - Directorate for Legal and Administrative Information (Prime Minister)