Formulaire
Application for reimbursement of an electronic stamp Passport (Form 15416*01)
Cerfa 15416*01 (2846-SD)
Reserved for purchases made from a buralist.
Warning
for an online purchase, use the online service.
To whom shall I send this form ?
Contact the entity in charge of this form
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Émetteur du formulaire administratif : Ministry of Finance
Verified 28 November 2018 - Directorate for Legal and Administrative Information (Prime Minister)