Formulaire

Application for Assistance on Retirement (ADR.)

This device allows you to supplement your pension rights, which is the amount of your retirement pension.

This help provides you with an additional financial punctual.

For example, your activity has decreased at the end of your career and you have difficulty paying your last contributions.

    Fill out the form

    Comment faire ?

    1. Download the form to your computer, phone or tablet
    2. Complete the form
    3. Save Completed Form
    4. Make sure you have filled it out correctly
    5. Forward the completed form to the Urssaf of your place of employment

    • Last 2 tax or non-tax notices
    • Notifications of retirement or application for retirement
    • RIB personal

    Please note

    During the examination of the application, the Urssaf may request additional documents.

    The transmission of the form depends on your legal form:

    Répondez aux questions successives et les réponses s’afficheront automatiquement

    Micro-entrepreneur

    • Log in to your autoentrepreneur.urssaf.fr account
    • Submit your request through the My E-mail :
      New Message >Daily Management of my self-company > I want to perform a application for social action

    Sole trader (SE)

    You should do the following:

    • Log in to your personal space urssaf.fr
    • Submit your request through the My E-mail :
      New Message > Another topic (information, documents or evidence > Soliciting social action from the CPSTI

    Et après ?

    After verification all the conditions and supporting documents, the file is sent to the Committee for Health and Social Action of the CPSTI of your place of professional activity, for decision.

    The decision of the CPSTI shall then be notified.

    The decisions of the CPSTI Health and Social Action Commission shall not be open to challenge.

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    Verified 01 April 2025 - Directorate for Legal and Administrative Information (Prime Minister)