Formulaire

Third Party Accident Report (Form 15263*02)

Cerfa 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.

    Fill out the 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.

    Je donne mon avis

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

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