Formulaire
Application for family caregiver old-age insurance (Form 14104*01)
National Fund for Family Allowances and Central Fund for Agricultural Social Mutual Insurance - Cerfa n° 14104*01
Allows you to request the affiliation of a family caregiver to the old age insurance.
Go to the online administrative form
To whom shall I send this form ?
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Émetteur du formulaire administratif : Directorate for Legal and Administrative Information
Verified 15 December 2020 - Directorate for Legal and Administrative Information (Prime Minister)