Formulaire
Nomination for parliamentary elections (Form 16110*02)
Cerfa 16110*02
The form is to be completed by each applicant.
It is recommended that you save the form to the hard drive and complete it in a computerized manner.
The form, once printed, must include the applicant's original handwritten signature.
The form must be accompanied by supporting documents (presented at the end of the document).
It must be deposited in duplicate at the prefecture. The second copy may be photocopied.
The applicant is asked to provide a telephone number and an e-mail address so that the prefecture or high commission can contact him in case of incomplete declaration.
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 the Interior
Verified 20 April 2022 - Directorate for Legal and Administrative Information (Prime Minister)