formulaire cerfa_final.indd - Noisy-le
Transcription
formulaire cerfa_final.indd - Noisy-le
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Revenu de solidarité active (RSA)..................FFFFFFFFFFFFFFFFFFFFFF Logement actuel <+&)1*(&B"S%T&=A(CDE>B&1*&=A>(B><>F@AG>N& .1/2"/2&.%/(*%4&?")%,&,L"$M%(@&9& e 2@HLTDBI>(Z( QBB"$2%.%/2 !1.7+%/&#%&B%$(1//%(&L"7+2%/2&#"/(&4%&41M%.%/2&",2*%4&b&& ESB%&#%&41M%.%/2&9 !L".7$% EG EU e <+&)1*(&B%$,%)%T&CU#*(D=(CU#W*N&.1/2"/2&.%/(*%4&9 EV EW Eg C"+(1/ . U& <*$5",%&9& E^&%2&B4*( 8H>M:FD=M&?1*&)12$%&,1/31+/2&1*&4%&5*2*$&,162+2*4"+$%&#*&7"+4&@&KBDKBILH@IB>(<U=A(CDT>?>AH(@=HB>(Y=>(G>C=I(Y=>(FD=M(O@SIH>V([ a*+ 'I(D=I(Z((!1..*/%&&9 81/ !1#%&B1(2"4&&9 ESB%&#%&41M%.%/2&9 !L".7$% EG EU EV EW Eg E^&%2&B4*( C12+5&#%&)12$%&#%."/#% -=?LBDH>V(K@B(DB<B>(<UI?KDBH@AG>(3\X]X^6(FDM(^(KBIAGIK@=_(?DHINM Assistant(e) maternel(le) ou familiale ............ Violences familiales ....................................... Raisons de santé ........................................... Divorce, séparation ........................................ Futur mariage, concubinage, PACS .............. Problèmes d'environnement ou de voisinage ............................................. Décohabitation .................. Logement trop petit ........... Logement trop grand ......... Logement trop cher ........... Regroupement familial ...... Rapprochement du lieu de travail................................ Rapprochement de la famille .......................... Handicap .............................. Rapprochement des équipements et services....... 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