Accident at work Declaration of transit (Form 14463*03 (ex-60-3682))
National Health Insurance Fund (Cnam) - Cerfa n° 14463*03 (ex-60-3682)
Autre numéro : DAT-PRE (S6200)
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To be completed in 4 copies. The employer must send 3 copies, by registered letter with acknowledgement of receipt, to the primary fund on which the employee who is the victim of the accident depends, within 48 hours after knowledge of the accident. It must keep the 4e copy for 5 years.
Go to the online administrative form
Verified 06 July 2022 - 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 :
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