Formulaire

Workplace Disease Sheet

Cerfa 11383*02 (S6201c)

Where an accident has occurred, the employer shall provide the victim with the occupational disease or illness form and shall at the same time draw up the declaration of illness or illness.

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    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Ameli.fr

    Verified 03 April 2026 - Entreprendre Public Service / Directorate of Legal and Administrative Information (Prime Minister)