Third Party Accident Report (Form 15263*02)

National Health Insurance Fund (Cnam) - Cerfa n° 15263*02

Allows you to report an accident caused by an individual, company or administration.

For example:

  • Beatings and injuries,
  • Animal bites,
  • Traffic accident
  • Injury from sports activity,
  • Injury by an object belonging to a neighbor...

To be done within 15 days of the accident.

Go to the online administrative form

Verified 19 April 2024 - Directorate for Legal and Administrative Information (Prime Minister)

For details, please use the practical information sheets :

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