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Statement of Employment for Family Employment (Form 11469*03)

Ministry of Finance - Cerfa n° 11469*03

Allows an individual employer to declare to the Urssaf the hiring of a family employee (family-friendly, au pair, foreigners family trainee...).

Go to the online administrative form

Verified 19 July 2022 - Legal and Administrative Information Directorate (Prime Minister)

To whom shall I send this form ?

For details, please use the practical information sheets :