Formulaire
Application for a redemption assessment for the retirement of certain periods of apprenticeship and/or activity as a maternal assistant (Form 15395*02)
Cerfa 15395*02 (S 5115a)
Request a valuation of the amount to be paid to buy back retirement quarters for apprenticeship periods (covered by a contract concluded between July 1972 and December 2013) or periods of service as a maternal assistant (between 1975 and 1990) during which you did not contribute sufficiently.
The form contains an explanatory note.
To whom shall I send this form ?
Contact the entity in charge of 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 : National old-age insurance fund
Verified 29 October 2021 - Directorate for Legal and Administrative Information (Prime Minister)