Formulaire

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

Cerfa 11689*02 (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

    Fill out the form

    To whom shall I send this form ?

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    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : National Health Insurance Fund (Cnam)

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