264 497 2201/2
US 718 734 4562
264 497 5649
Company Logo
  • Home
  • About
    • New Software Acquisition

      Read More

      One of the major initiatives of the Social Security Board's Transformational Strategic Plan for the triennium 2019 - 2021 is the introduction of an e-services software platform for the administration of its Social Insurance Programme.

      Features Pages

      • About
      • FAQ
      • Directors
      • Management
      • Staff

      Vision

      Anguilla has been transformed into a smart, resilient, diversified, inclusive and green economy with universal social security coverage and full employment; enabled by a customer-centric and technology-driven ASSB.

  • Benefits
    • COVID-19 Unemployment Assistance
    • Sickness Benefit
    • Maternity Benefit
    • Paternity Benefit
    • Funeral Grant
    • Disability Benefit/Grant
    • Survivors' Benefit
    • Old Age Benefit
    • NCOAP
    • Unemployment Assistance(Irma)
  • Contributions
    • Employee
    • Employer
    • Self-Employed
  • Registrations
    • Employees
    • Employers
    • Self-Employed
  • Resources
    • News
    • Forms
    • Annual Reports
    • Strategic Transformation Plan 2019-2021
    • Documents
    • Booklets
    • SIAS RFP
    • SSDF Projects
  • Contact

Social Security Forms

  1. Home
  2. Resources
  3. Social Security Forms

Quick Menu

  • Forms
  • Booklets
  • Documents

Social Security Forms

Navigate to the appropriate section to locate the form you wish to utilize. Regular forms can be downloaded, printed and filled using blue or black Ink. While fillable forms should be downloaded, opened in Adobe Acrobat Reader, filled(type information on form) and then printed. Please read instructions carefully as some forms require submission of original Goverment issued documents. All forms are provided in Portable Document Format(PDF).

Click here to download a copy of Adobe Acrobat Reader.

Benefit Claim Forms

  •  COVID-19 Unemployment Assistance Form

Contribution Forms

N.B. ALL CR-1 forms MUST be printed on Legal(8.5 X 14) sized paper.

  •  Employer Contributions Form(CR-1)
  •  Employer Contributions Form(CR-1) Fillable PDF
  •   Employer Contributions Form(CR-1) Sample
  •  Self-Employed Contribution Form(SE-2)
  •  Self-Employed Contribution Form(SE-2) Fillable PDF

Registration Forms

  •  Employee Registration Form
  •  Employee Registration Form Fillable PDF
  •  Employer Registration Form
  •  Employer Registration Form Fillable PDF
  •  Self-Employed Registration Form(SE-1)
  •  Self-Employed Registration Form(SE-1) Fillable PDF
  •  Self-Employed Notice of Termination(SE-3)
  •  Self-Employed Notice of Termination(SE-3) Fillable PDF

General Forms

  •  SSDF Call for Proposal Form
  •  SSDF Call for Proposal Fillable Form

Contact

  • James Ronald Webster Building
  • P.O Box 243, The Valley, AI-2640, Anguilla BWI
  • info@ssbai.com
  • 264 497 2201/2 | USA 718 734 4562
  • 264 497 5649
  • www.ssbai.com

Quick Links

  • Int'l Social Security Association
  • Inter-American Conference on S.S.
  • Regional Social Security Organizations
  • Government of Anguilla
  • Radio Anguilla
  • Anguilla Tourist Board
  • Anguilla Community College
  • Anguilla Electricity Company
  • Anguilla Air & Seaports Authority
  • Anguilla Chamber of Commerce

Annual Reports Subscription

Subscribe to our Annual Reports mailing list and receive notifications via email when published.

© Anguilla Social Security Board 2021. All rights reserved. Powered by ASSB ICT Department

  • Home
  • About
  • Benefits
  • Contributions
  • Registration
  • Contact