Declaration of occupational disease (Form 12827*02)

Ministry of Public Service - Cerfa n° 12827*02

To be filled in by State pensioners (or their entitled) for invalidity resulting from the performance of their duties. Enables, subject to conditions, an invalidity pension to be obtained in addition to the retirement pension.

Go to the online administrative form

Verified 22 March 2023 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send 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.