Formulaire

2023 partial energy excise rebate application (Form 14902*12)

Cerfa 14902*12

All applications must be entered on the Chorus pro portal.

This paper form is reserved for the following situations:

  • Solidarity contributors who do not have a SIRET number.
  • Individual companies and businesses whose SIRET has been closed (e.g. following cessation of activity).
  • Public establishments (ASA, EPLEFPA, etc...) without their own SIRET.

    Fill out the 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.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of Agriculture

    Verified 07 June 2024 - Directorate for Legal and Administrative Information (Prime Minister)