Notice of work stoppage (Form 50069*07)

National Health Insurance Fund (Cnam) - Cerfa n° 50069*07


For his approach, the employee uses the form provided by the doctor. Access to package leaflet n°50069#06.

Please note

accident at work since 7 may 2022, a merger of the various forms used to prescribe work stoppages (illness, occupational disease, follow-up, extension, etc.) has been carried out. The reporting and investigation rules remain unchanged. It's always given to the health care professional after you've given it to them.

Go to the online administrative form

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

Contact the entity in charge of this form

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.