Formulaire

Transmission of periods of birth leave by the employer

The form is organized in 4 headings :

  • Information on theemployer : employer name, SIRET number, employer contact name, contact telephone number
  • Information on theemployee : social security number, name and surname of the employee
  • Information on thechild : surname, first name and date of birth of the child
  • Information on the leave : method of taking leave (in 1 or 2 times) and dates of conventional leave.

Once completed, the file in PDF format is to be deposited on the company account (net-companies.fr) or via the attachment deposit API.

    Fill out the form

    For details, please use the practical information sheets :

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    Émetteur du formulaire administratif : Ameli.fr

    Verified 02 November 2026 - Entreprendre Service Public / (Prime Minister)