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French cohabitation statement (attestation de vie commune)

Signed by both of you, in the French form offices expect.

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French cohabitation statement (attestation de vie commune) — printable PDF preview

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Example

Example: a cohabitation statement for the CAF, and where each field goes

Emma Walker, born in Manchester, and Lucas Martin, born in Nantes, have lived together at 12 rue des Lilas, 69003 Lyon since 1 September 2024. They fill in the form in English; the statement comes out in French.

You type Printed on the statement
Emma Walker, born 14 March 1994 in Manchester (Royaume-Uni) Nous soussignés, Emma Walker, né(e) le 14 mars 1994 à Manchester (Royaume-Uni),
Partner: Lucas Martin, born 2 July 1992 in Nantes et Lucas Martin, né(e) le 2 juillet 1992 à Nantes,
Address 12 rue des Lilas, 69003 Lyon; since 1 September 2024 attestons sur l'honneur vivre ensemble en concubinage à l'adresse suivante : 12 rue des Lilas, 69003 Lyon, depuis le 1er septembre 2024.
Addressed to: CAF À l'attention de : CAF
Signed at Lyon on 20 October 2026 Fait pour servir et valoir ce que de droit. Fait à Lyon, le 20 octobre 2026.
(nothing) Two signature boxes, one over each name, and the article 441-7 warning at the foot

One page headed ATTESTATION SUR L'HONNEUR DE VIE COMMUNE, with a small English line under the title saying what it is. Each partner signs in their own box; hand it in with a bill or lease in both names if the office asks for one.

How it works

  1. Enter your name, date and place of birth, then your partner’s.
  2. Add your shared address and the date you started living together.
  3. Add who it is for, if you were told.
  4. Print it; each of you signs in your own box.

Frequently asked questions

Who signs it?
Both partners: it is written in the plural and has two signature boxes.
What is it for?
Proving that you live together (concubinage) to the CAF, the tax office, a health insurer, a landlord, or the préfecture for a residence permit, usually with bills or a lease in both names.
Does it have to be in French?
Yes: it is handed in to a French office, so the paper is in French. This page’s form is in English; anything you type into the free-text box should be in French.
What if we leave a field empty?
It prints as a blank line to fill in by hand, for instance the date you moved in if you want to check it first. If the date of signing is left empty, today’s date is printed.
Can we add something, such as a previous address?
Yes: whatever you type in the free-text box is printed as an extra paragraph after the sentence about living together. Write it in French, as the rest of the paper is.
What if it is false?
Article 441-7 of the French penal code punishes a statement of facts known to be untrue with up to a year in prison and a €15,000 fine. The paper says so at the foot.
Is what I type uploaded?
No. The PDF is made in your browser and nothing you type leaves your device. Nothing of ours is printed on the paper.

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