Formulaire

Application for aid - Single insertion contract (CUI) (Form 14818*04)

Ministry of Labor - Cerfa n° 14818*04

A copy shall be given to each signatory.

The original is sent to the Service and Payment Agency (ASP), which then pays the aid monthly.

Warning  

this form does not have to be filled in if the aid application is made to France Travail (formerly Pôle emploi) or a local mission. The request for assistance is then made to the counselor.

    Go to the online administrative 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.

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    Émetteur du formulaire administratif : Directorate for Legal and Administrative Information

    Verified 06 October 2023 - Directorate for Legal and Administrative Information (Prime Minister)