Application for membership of the National Military Social Security Fund (CNMSS) as a military orphan (Form 12622*04)
National Military Social Security Fund (CNMSS) - Cerfa n° 12622*04
Contains an explanatory note.
Go to the online administrative form
Verified 11 December 2019 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
National Military Social Security Fund (CNMSS)
Risk management of sickness, maternity and health and social insurance for insured persons covered by the military system
By telephone for insured persons and health professionals
+33 (0)4 94 16 36 00
Open from Monday to Friday from 8am to 5pm
By telephone for disability pensioners, injured on duty, victims of terrorism and health professionals
+ 33 (0)4 94 16 96 20
By E-mail
Contact forms available on CNMSS website
By post for active or retired military insured
National Military Social Security Fund
247 Jacques Cartier Avenue
83090 TOULON CEDEX 9
FRANCE
By post for persons on disability pension or injured on duty
National Military Social Security Fund
Department for the Care and Follow-up of the Injured and Pensioner
TSA 41001
83090 TOULON CEDEX 9
FRANCE
By a reception point
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