Guide · Part B

MDPH form part B: describing your daily life without leaving anything out

Updated · 8 min read · Written by L'équipe DossierMalin

The short answer

Part B of the CERFA 15692 form describes your daily life, needs and expectations. It is required, except for a renewal when nothing has changed. Tick each need as soon as there is a difficulty, even a partial one, and use the free-text page to give concrete examples.

What part B contains

Part B covers pages 5 to 8 of the form. It starts with where you live (your own home, staying with someone, in a facility) and who you live with. Then come three blocks:

Block What you are asked
B1 Benefits, income and allowances received in the last 12 months (AAH, invalidity pension, sick pay, RSA…)
B2 Your needs in daily life, the equipment you use, the help you get from other people
B3 What you expect in order to compensate for the disability: social life, getting around, wishes

Page 8 is a large free-text area: “Do you have other important information (situation, expectations, plans) about your daily life?” It is the only place where you tell your story in your own words.

The right reflex for the tick boxes

Block B2 lists needs: personal hygiene, getting dressed, shopping, preparing and eating meals, housework, paying everyday expenses, managing a budget, looking after one’s health.

The most common mistake is ticking only what you cannot do at all. The guide from the Centre Ressources Autisme recommends the opposite: tick as soon as there is a difficulty or partial independence, when someone has to remind you, guide you, or be there.

Example. “I wash myself, but someone has to remind me and go over the steps again.” The “personal hygiene” need should be ticked.

The same logic applies in block B3:

  • Communicating. Being able to talk is not enough. Can you express an emotion, a refusal, a request? Understand other people’s expressions? If not, tick “To express yourself, to be understood”.
  • Getting around. Do not think only about being able to walk. Anxiety on journeys, being unable to go alone to a new place, or dangers outside are real needs.
  • Bad days. If your difficulties vary, describe the bad days too, not just the good ones. The MDPH assesses the effects on daily life rather than the diagnosis (MACSF).

Describing your real situation, without playing it down or exaggerating, is what makes an application solid.

The free-text page: four points to cover

The CRA guide advises covering four points. You can also write this text on a separate sheet and attach it.

  1. Your living situation: where and who you live with, what has changed.
  2. Your daily difficulties, with concrete examples: one specific scene is worth more than a generality.
  3. Your family’s difficulties: what your relatives do for you, and what it costs them.
  4. The link with your requests: explain why each right you ask for in part E meets a need you described.

Example. “Since I lost my job, I no longer go out alone. My sister comes every day for my paperwork and appointments. I am asking for personal help so I can go out and handle my paperwork without depending on her.”

The MDPH works in French. If you write in English, have the text translated if you can, or keep the sentences short and simple.

Supporting documents to prepare

If possible, the form asks you to attach: bills or quotes for the costs mentioned in blocks B1 and B3, the contract or statement of the person you pay to help you, and documents showing reduced working hours to look after a child.

Do not forget the rest of the application: the full list of documents and the medical certificate, which your doctor fills in.

Part B, one question at a time, in English

DossierMalin asks you the questions one by one, with an example and the common mistake under each, then ticks the right boxes on the official French form for you.

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