diff --git a/frontend/src/views/InstructionPage/DecisionTab.vue b/frontend/src/views/InstructionPage/DecisionTab.vue
index 29db4c70..79e61802 100644
--- a/frontend/src/views/InstructionPage/DecisionTab.vue
+++ b/frontend/src/views/InstructionPage/DecisionTab.vue
@@ -72,7 +72,21 @@
               v-model="comment"
             />
           </DsfrInputGroup>
-          <DsfrButton class="" label="Soumettre" @click="submitDecision" />
+          <DsfrButton
+            class=""
+            label="Soumettre"
+            @click="submitDecision"
+            :disabled="needsAnsesReferal && decisionCategory === 'approve'"
+          />
+          <div v-if="needsAnsesReferal && decisionCategory === 'approve'" class="mt-2">
+            <hr class="p-0 my-2" />
+            <p class="my-1">
+              <v-icon name="ri-error-warning-line"></v-icon>
+              La déclaration ne peut pas être validée en nécessitant une saisine ANSEES. Merci de changer l'article
+              avant de la valider.
+            </p>
+            <ArticleInfoRow v-model="declaration" v-if="needsAnsesReferal && decisionCategory === 'approve'" />
+          </div>
 
           <div v-if="firstErrorMsg(v$, 'reasons')">{{ firstErrorMsg(v$, "reasons") }}</div>
         </template>
@@ -90,6 +104,7 @@ import { useFetch } from "@vueuse/core"
 import { headers } from "@/utils/data-fetching"
 import useToaster from "@/composables/use-toaster"
 import { handleError } from "@/utils/error-handling"
+import ArticleInfoRow from "@/components/DeclarationSummary/ArticleInfoRow"
 
 const decisionCategory = ref(null)
 watch(decisionCategory, () => (proposal.value = decisionCategory.value === "approve" ? "autorisation" : null))
@@ -125,6 +140,8 @@ watch(proposal, (newProposal) => {
   else delayDays.value = 15
 })
 
+const needsAnsesReferal = computed(() => declaration.value?.article === "ANSES_REFERAL")
+
 const decisionCategories = [
   {
     value: "approve",
diff --git a/frontend/src/views/VisaPage/VisaValidationTab.vue b/frontend/src/views/VisaPage/VisaValidationTab.vue
index 7f25860e..ad8cdb92 100644
--- a/frontend/src/views/VisaPage/VisaValidationTab.vue
+++ b/frontend/src/views/VisaPage/VisaValidationTab.vue
@@ -41,8 +41,14 @@
         <p class="fr-text--sm">
           {{ decision.description }}
         </p>
-        <div class="text-right">
-          <DsfrButton :label="decision.buttonText" @click="decision.buttonHandler" secondary />
+        <ArticleInfoRow class="mb-2" v-if="decision.blockedByAnses" v-model="declaration" />
+        <div v-else class="text-right">
+          <DsfrButton
+            :label="decision.buttonText"
+            @click="decision.buttonHandler"
+            secondary
+            :disabled="decision.blockedByAnses"
+          />
         </div>
       </div>
     </div>
@@ -57,6 +63,7 @@ import { useFetch } from "@vueuse/core"
 import { handleError } from "@/utils/error-handling"
 import useToaster from "@/composables/use-toaster"
 import VisaInfoLine from "./VisaInfoLine.vue"
+import ArticleInfoRow from "@/components/DeclarationSummary/ArticleInfoRow"
 
 const $externalResults = ref({})
 const emit = defineEmits(["decision-done"])
@@ -91,16 +98,22 @@ const acceptVisa = async () => {
     emit("decision-done")
   }
 }
-
+const needsAnsesReferal = computed(() => declaration.value?.article === "ANSES_REFERAL")
+const shouldBlockApproval = computed(
+  () => needsAnsesReferal.value && declaration.value.postValidationStatus === "AUTHORIZED"
+)
 const decisionCategories = computed(() => {
   return [
     {
       title: "Je valide cette décision",
       icon: "ri-checkbox-circle-fill",
       iconColor: "green",
-      description: "Je vise cette déclaration et signe.",
+      description: shouldBlockApproval.value
+        ? "La déclaration ne peut pas être autorisée en nécessitant une saisine ANSEES."
+        : "Je vise cette déclaration et signe.",
       buttonText: "Valider",
       buttonHandler: acceptVisa,
+      blockedByAnses: shouldBlockApproval.value,
     },
     {
       title: "Je ne suis pas d'accord",