Joint application for the approval of a parental agreement (Form 16139*01)
Ministry of Justice - Cerfa n° 16139*01
You can consult in the appendix of this form the model agreements on alternate residence or rights of access and accommodation.
Go to the online administrative form
Verified 15 March 2021 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
Model of parental agreement for the child to reside with one of the parents and the other to be a right of access and accommodation. :
Model parental agreement - Residence and rights of access and accommodation
Model of parental agreement for the child to be in alternate residence with his 2 parents. :
For details, please use the practical information sheets :
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