Forms

Home / Forms

Please download and answer all relevant sections of the form.  Submit completed Claims at the SSB Branch Office or at the Night DropBox after working hours.

*Sickness Benefit Claims can be submitted online using your My Social Security Portal Account at: SSBPORTAL.ORG.BZ

Abbrev. REGISTRATION
R1AEmployee Listing to be provided by Employer.
Card Pick UpCard Pick Up Authority Form
Abbrev.SHORT TERM BENEFITS
SB1, SM2 SBClaim Form and Salary Record for Sickness Benefit.
MB, SM2 MBClaim Form and Salary Record for Maternity Benefit.

MB5, SM2 MGClaim Form and Salary Record for Maternity Grant.
FG1Claim form for Funeral Grant.
Abbrev. EMPLOYMENT INJURY
IB 1, IB 7
Claim form and Witness Report for Injury Benefit.
IB 8Continuation of Injury Benefit.
IB 17Application for Disability Benefit.
SVB1Application for Survivors or Death Benefit.
Abbrev. LONG TERM BENEFITS
INV 1Application for Invalidity Benefit.
RB 1Application for Retirement Benefit.
RB/DIS/INV P6 Pensioner's Life Declaration Form for Retirement, Disability or Invalidity Pensions.
NCP 1Application for Non-Contributory Pensions.
NCP P6Pensioner's Life Declaration Form for Non-Contributory Pensions.
SVB1Application for Survivors' or Death Benefit.
SVB-DB P6Pensioner's Life Declaration Form for Survivors’ or Death Pensions.
Abbrev. CONTRIBUTIONS
Payroll TemplatePayroll Sample for small to medium businesses to track weekly wages paid to employees.
ED1Employment Declaration for Contribution History/Record.
DP7Application to apply for Contributions Refund.
Emp_AccessEmployer Access Request for Online Employer Services.
Abbrev. MISCELLANEOUS
AP 1Application to Appeal your claim.
AR 1 Accident Record form to be submitted by Employer.
BLA 1Application for Business Loan (Investment Services).
DDAAuthorization form to update Bank or Credit Union Information.
Pension DAAuthorization form for Pensions.
NCP SAStanding Authority form for Non-Contributory Pensions.