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Accident at work Worksheet for agricultural workers (Form 11451*04)

Central Fund of Agricultural Social Mutual Society (MSA) - Cerfa n° 11451*04

Vous pouvez aussi utiliser :

Accident at work Declaration of Occupational Disease and Prevention Online (DAT-MSA)

To be kept by the victim.

Go to the online administrative form

Verified 23 September 2016 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send this form ?

Mutual Social Agricultural Organization (MSA)

J'ai réalisé une démarche administrative

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

Je donne mon avis