Cerfa 11135 * 04 – salary certificate form

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Cerfa 11135 * 04 - salary certificate form

Publisher:Health Insurance version:PDF fillable Cerfa 11135 * 04 - salary certificate form Download Download Freeware (650.4 KB) French

Cerfa 11135 * 04 (Version 2017) is downloadable here as a PDF file to fill and print. It is the employer's responsibility to send the salary certificate form in case of illness of one of its employees, in order that the latter perceives daily allowances of sick leave. This document must be sent to the health insurance fund of the employee by mail. For more information, see the salary certificate memorandum.

The advice of Eric Roig, founding director of droit-finances.net

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Alternative spelling:S3201-PDF remplissable.pdf, S3201.pdf download this article (PDF