Formulaire

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

Cerfa 15481*01

You can apply at:

  • of your Caf: titleContent or MSA,
  • or department departments,
  • or the CCAS: titleContent from your home (if its board of directors has decided to hear RSA's applications, it is advisable to inquire in advance),
  • or an association authorized by the departments of the department.

In all cases, check with these organizations beforehand if they are competent to process your request.

    Fill out the form

    To whom shall I send this form ?

    Download RSA and activity bonus - Additional application for self-employed

    FACULTATIF - To be completed if you are a trader, craftsman, self-employed farmer, or if you are a professional. : 

    PDF - 143.8 KB

    Formulaire annexe

    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Ministry of Health

    Verified 17 November 2023 - Directorate for Legal and Administrative Information (Prime Minister)