Formulaire

Proposal for rates of permanent incapacity for work (Form 11817*01)

Cerfa 11817*01

Allows the Caisse de la Mutualité sociale agricole to inform the person concerned of the proposed rate of permanent incapacity for work.

    Fill out the form

    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.

    Émetteur du formulaire administratif : Central Fund of Agricultural Social Mutual Society (MSA)

    Verified 14 February 2017 - Directorate for Legal and Administrative Information (Prime Minister)