Formulaire

Request for disability pension: victims of terrorist acts (Form 15870*03)

Cerfa 15870*03

This form allows you to make a request for disability pension if you are a victim of a terrorist act.

    Fill out the form

    To whom shall I send this form ?

    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 : Ministry of Defense

    Verified 16 January 2025 - Directorate for Legal and Administrative Information (Prime Minister)