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)
special social protection scheme for military personnel and their families.
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 invalidity pensioners, injured in service, victims of terrorism, applicants for or beneficiaries of cash or recurrent allowance 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 recipients of invalidity pension or injured in service, for applicants for or beneficiaries of cash benefits or a recurrent allowance
National Military Social Security Fund
Department of Care and Follow-up of Injured and Pensioner (DSBP)
247 Jacques Cartier Avenue
83090 TOULON CEDEX 9
FRANCE
By a reception point
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