Get Cerfa 11559 4

This guide will provide you with clear instructions on how to fill out the Cerfa 11559 4 questionnaire online. This form is essential for requesting the maintenance of French social security coverage for employees assigned abroad.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, 'LE SALARIÉ(E)', fill in the employee's last name (birth surname), first name(s) in order of civil status, nationality, and registration number. Also, include their address in France, date of birth, code postal, and commune.
3. If known, provide the employee's address in the country of assignment, including street number, street name, code postal, commune, and country. Include the anticipated start and end dates of the assignment.
4. Complete the employer's details in 'L’EMPLOYEUR'. Enter the company name, address, code postal, commune, country, telephone number, fax number, and email address. Also, provide the NAF code and SIRET number.
5. Indicate the number of employees in the company and the number of employees assigned abroad. Answer whether substantial activity is normally performed in France.
6. In the 'LE DÉTACHEMENT' section, specify the country to which the employee is being assigned, the expected duration of the assignment, and a detailed description of the work to be performed.
7. If there is no host company in the assignment country, check the corresponding box and provide other relevant information regarding the assignment, such as whether salaries and contributions will be paid by the employer and if the employee was insured under a French social security scheme before departure.
8. If applicable, indicate previous assignment periods and whether the current employee is replacing another employee who was previously assigned.
9. Complete the 'ATTESTATION SUR L’HONNEUR DE L’EMPLOYEUR' section, including the signer's name, date, and signature. This declaration affirms the accuracy of the information provided.
10. After completing the form, review all information for accuracy. Save your changes, download a copy, print, or share the form as needed.

Complete your documents online today for a smooth application process.