Was your document accepted?
You made this document on this device before. Your answer helps us improve the models; only the document's name is sent.
Thank you! Your answer helps.
Thanks for your answer. If something in the model should change, tell us:Report a mistake in this document
What you need
- Title and full name
- National ID (CNIE) number
- Address
- Phone (optional)
- Provider and subscription
- Contract or line number
- Cancellation date (optional)
- Place of signing
What to bring
- Send it by registered mail with acknowledgment of receipt, or hand it in at the agency against a receipt
- Any lent equipment (router…)
This is a standard model: check it with the administration concerned.
Frequently asked questions
Does the signature on this document need to be legalised?
No, this document needs no légalisation: signing it is enough.
What information do I need to fill it in?
Title and full name; National ID (CNIE) number; Address; Phone (optional); Provider and subscription; Contract or line number; Cancellation date (optional); Place of signing.
What language is it written in?
In Arabic or in French, as you choose.
What should I bring?
Send it by registered mail with acknowledgment of receipt, or hand it in at the agency against a receipt; Any lent equipment (router…).
Is it free, and where does my information go?
It is free. The document is prepared on your device and your information is sent nowhere; you then print the PDF at any print shop for the price of printing.