Social Security Board Belize

	Application for a Social Security Card	R4 (English) This form must be printed on LEGAL size paper.
	Solicitud para una tarjeta de Seguro Social	R4 (en Español)
	Application for Social Security - Family R4	R4 REVISED (2005)
	Employment Declaration	ED.1
Benefit Claim Forms
	Claim for Maternity Benefit	MB
	Claim for Maternity Grant	MB.5
	Claim for Sickness Benefit	SB.1
	Claim in respect of Injury by Accident	IB.1
	Claim in respect of Prescribed Disease or Injury	IB.2
	Medical Care: Work Related Injury or Disease	IB.8
	Claim for Disablement Benefit	IB.17
	Claim for Invalidity Benefit	INV.1
	Claim for Retirement Benefit	RB.1
	Pensioner's Declarations	P6 P6 RID
	Application for Non-Contributory Pension	RB1A
	Claim for Survivors' or Death Benefit - Widow(er) & Children	SVB.1
	Claim for Survivors' or Death Benefit - Parents	SVB.4
	Claim for Funeral Grant	FG.2
	Notice of Appeal Against a Decision	AP.1
	Abandonment of Appeal	AP.4
FORMS USED BY EMPLOYERS
	Application for Registration as an Employer	R1
	Employee List	R1A
	Statement of Contribution by Direct Payment EMPLOYERS GUIDE ON HOW TO COMPLETE THE MONTHLY STATEMENT OF CONTRIBUTIONS BY DIRECT PAYMENT	FIN15A Microsoft Excel Format This form must be printed on LEGAL size paper and FILLED OUT IN TRIPLICATE
	Electronic processing of E-Returns	Fin15A e-returns (MS Excel)
	Notice of Inactive Employer/Closure of Business	IN.15
	Application for Refund of Contributions Overpaid	DP.7
	Application as a Self Employed	SE-A1
	Salaries Record Form	SM2
OTHER SOCIAL SECURITY FORMS
	Application for Voluntary Insurance	FIN.57
	Application for Employment with Social Security	PF1
	Request for Statistical Data	Form
	Golden Citizens Program Participation Form	Form
	Golden Citizens Program Withdrawal of Commitment Form	Form