Formulaire

Emergency Assistance Form

To apply for emergency assistance for disaster and weather-affected assets, complete the following form and attach the following supporting documents:

  • personal RIB
  • Where established, a attestation of Town hall may be attached to the file to attest to the occurrence of the disaster or bad weather.

The form must be sent to the Urssaf via the Urssaf personal area by sending the request via the section: messaging.

    Fill out the form

    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.

    Je donne mon avis

    Émetteur du formulaire administratif : Urssaf

    Verified 08 September 2026 - Entreprendre Service Public / (Prime Minister)