Request for transfer (changes in the employment situation leading to a change in the social security system) (Form)

National Health Insurance Fund (Cnam)Autre numéro : EXP 750 CNAM September 2018

Declaration of change of situation resulting in a change of primary affiliation fund.

Form to be completed and sent to your credit union in the constituency of which your new place of residence is located in the following situations:

  • You have permanently changed your residence
  • Your new employer contributes to a fund other than the one in which you were previously affiliated.

Go to the online administrative form

Verified 16 February 2021 - 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 :

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