Formulaire

Employer Report to the Regional Committee for the Recognition of Occupational Diseases (CRRMP) (Form 11141*01)

Cerfa 11141*01 (S6210)

Access to the cerfa explanatory notes n°50514#01 - 50515#01 - 50516#01 - 50517#01 - 50518#01.

This report must be provided by the employer within 1 month to the Regional Committee for the Recognition of Occupational Diseases (CRRMP).

    Fill out the form

    Contact the entity in charge of this form

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : National Health Insurance Fund (Cnam)

    Verified 11 April 2022 - Directorate for Legal and Administrative Information (Prime Minister)