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Application for RSA or Activity Premium (Form 15481*01)

Cerfa n° 15481*01 -  Ministry of Solidarity and Health

You can apply to:

  • your Caf or MSA
  • or department services,
  • or CASE your home (if your board of directors has decided to hear RSA's applications, you should enquire in advance),
  • or an association authorised by the department.

In all cases, check with these agencies before they are competent to process your request.

Go to form [PDF - 205.9 KB] New window

Verified 01 avril 2022 - Legal and Administrative Information Directorate (Prime Minister)

For details, please use the practical information sheets :

Particuliers