Accident at work Occupational Disease or Occupational Disease Sheet (Specimen) (Form 11383*02)

National Health Insurance Fund (Cnam) - Cerfa n° 11383*02
Autre numéro : S6201c

Please note that this version is a specimen (supplied) only for your information).

Accident at work For your application, the original form is given to you by the employer in case of a medical treatment or by the CPAM or the MSA when an occupational disease is declared.

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Verified 26 October 2021 - Directorate for Legal and Administrative Information (Prime Minister)

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