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.

    Fill out the form

    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.

    Je donne mon avis

    Émetteur du formulaire administratif : National old-age insurance fund

    Verified 29 October 2021 - Directorate for Legal and Administrative Information (Prime Minister)