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Application for an allowance for employees and former employees of shipbuilding and ship repair (Form 11689*02)

National Health Insurance Fund (Cnam) - Cerfa n° 11689*02
Autre numéro : S6114b

This form allows you to claim the Asbestos Workers Early Termination Allowance (Acaata) if you are an employee or former employee of the shipbuilding and ship repair and if you have at least 50 years.

Access to the erfa leaflet n°50788#03

Go to the online administrative form

Verified 14 June 2022 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send this form ?

Contact the entity in charge of this form

For details, please use the practical information sheets :