Declaration of employment of a family job (Form 11469*03)

Urssaf - Cerfa n° 11469*03

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

Go to the online administrative form

Verified 12 December 2023 - Legal and Administrative Information Directorate (Prime Minister)

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.

Je donne mon avis