Formulaire

Self-employed: Application for individual voluntary insurance AT/MP (Form 50546#04)

Urssaf - Cerfa n° 50546#04

This form allows the self-employed worker (sole trader, majority manager of SARL ...) to subscribe to individual voluntary insurance in order to benefit from specific benefits in case of an accident at work or an occupational disease.

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    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Directorate for Legal and Administrative Information

    Verified 30 April 2024 - Directorate for Legal and Administrative Information (Prime Minister)