Nom Prénom Lien de parenté Date de naissance
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Pièces à joindre :
POUR TOUS
Copie de votre arrêté de recrutement ou contrat de travail
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POUR LES AGENTS SEULS
Copie de votre carte d'identité
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POUR LES FAMILLES
Copie de toutes les pages renseignées de votre livret de famille, celui de votre conjoint, derniers avis d'imposition
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J’autorise le COS44 à recueillir et à traiter mes données à caractère personnel et j'adhère à sa Politique de confidentialité (cette autorisation est obligatoire pour bénéficier des prestations).
J’accepte de recevoir la Newsletter du COS44 (restez informés des nouveautés, dates des prestations, informations importantes, etc).
