Form 12666*03: Application for daily parental allowance (DSA)
National Fund for Family Allowances (Cnaf) - Cerfa n° 12666*03
Autre numéro : S7152b
Allows a person who wishes to temporarily stop working to care for his seriously ill, injured or disabled child to receive an allowance.
To download the form, click first to select your place of residence.
this form also gives you access to cerfa form no. 11423*06 of declaration of situation (to be filled in to complete the application).
Verified 16 September 2019 - Directorate for Legal and Administrative Information (Prime Minister)