Formulaire

Accident at work CHSCT investigation of a serious

Cerfa 12758*01 (61-2256)

Sheet to be sent within 15 days to the labor inspector, in duplicate

    Fill out the form

    To whom shall I send this form ?

    • Departmental Directorate for Employment, Labor and Solidarity (DDETS or DDETS-PP)

      https://dreets.gouv.fr/

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    Émetteur du formulaire administratif : Ministry of Labor

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