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

    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)