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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'MOTIF DE LA DEMANDE' section. Indicate whether this is a first request or a renewal, and specify the reason for the work authorization.
In the 'EMPLOYEUR' section, enter the employer's SIRET number, name, and applicable collective agreement details.
Proceed to the 'SALARIÉ' section. Fill in personal details of the employee including their URSSAF number, name, date of birth, nationality, and residence information.
Complete the 'Éléments du contrat de travail' section by detailing job title, contract type (CDI or CDD), working hours, and salary information.
Finally, ensure all sections are filled accurately before signing. Use our platform’s features to save your progress and submit your completed form.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (36 Votes)
2016	4.8 Satisfied (55 Votes)

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