Formulaire

Monthly 12-month income statement for determining housing assistance entitlements (Form 16021*05)

Cerfa 16021*05

Allows you to report your monthly resources over a 12-month reference period for calculating housing assistance

    Fill out the form

    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : National Fund for Family Allowances, MSA Central Fund 

    Verified 12 July 2024 - Directorate for Legal and Administrative Information (Prime Minister)