Formulaire
Exceptional Financial Assistance Form (TFA)
To apply for the TFA, you must complete the following form and attach the following supporting documents:
· personal RIB
· Last tax or non-tax notice for all household members
· Supporting evidence to shed light on the difficulties.
The form must be sent to the Urssaf via the Urssaf personal area by sending the request via the section: messaging.
To whom shall I send this form ?
For details, please use the practical information sheets :
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Émetteur du formulaire administratif : Urssaf
Verified 08 September 2026 - Entreprendre Service Public / (Prime Minister)