Application for the use of earned points for an increase in pension insurance period (Form 15511*04)

Prevention Business Account - Cerfa n° 15511*04
Autre numéro : S5117c

You can choose to use some or all of the earned points in your prevention work account to get a free increase in your pension insurance term.

This will give you the allocation of additional quarter(s).

Go to the online administrative form

Verified 27 March 2024 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send this form ?

J'ai réalisé une démarche administrative

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