Formulaire
Care Record - Care Received Abroad by Posted Employee (Form 11790*01)
National Health Insurance Fund (Cnam) - Cerfa n° 11790*01
Autre numéro : S3124a
Relates to an employee posted to a country outside Europe.
Must be accompanied by originals of invoices paid by the insured and medical prescriptions.
Go to the online administrative form
To whom shall I send this form ?
For details, please use the practical information sheets :
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 February 2021 - Directorate for Legal and Administrative Information (Prime Minister)