Selecting a language will automatically trigger the translation of the page content.

Declaration of family status and income of the last 12 months (application of Aspa or Asi to the Cnav) (Form 11370*03)

Legifrance - Cerfa n° 11370*03

Allows applicants for Aspa or Asi to declare their resources for the last 12 months to the general social security scheme.

This form is preceded by its explanatory note cerfa 51637*03.

Go to the online administrative form

Verified 02 March 2020 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send this form ?

Contact the entity in charge of this form

For details, please use the practical information sheets :