Note: Downloads are in pdf form and will automatically open if you have Adobe Acrobat Reader installed. If you are desirous of printing the NIS forms available here, please ensure that you print back and front for each page in the order it is set in the download. If the pages are not printed correctly, they will not be accepted by NIS.
Types of Benefits and their respective application forms.
Long Term Benefits
- Old Age
- Constant Attendance
- Life Certificates
- Appointing a representative
- P1 - Appointment for a
Representative for Persons
- P3A - Appointment for a Representative to act locally
- P3B - Application for vouchers to be paid into the bank. (Overseas)
- P3C - Application for pensions to be paid into the bank. (Local)
- P4 - Appointment of a person of institution to receive pension.
- P1 - Appointment for a
Short Term Benefits
- Sickness Medical Care
- MB2 -- Claim for Maternity Benefit
- MED2 -- Certificate of Confinement
- MB1A -- Certificate by Self Employed person in support of Maternity Benefit Claim
- MB1 -- Claim for Extended Maternity Allowance
- Med1 -- Medical Certificate – Post Confinement
- MB2A -- Claim for Maternity Grant
- MB2B -- Declaration by Spouse to support Claim for Maternity Grant
- MED11 -- Claim for Fees or Medical Certification & Treatment for Employment Injury and or Sickness Cases
- MED3 -- Certificate of Expected Confinement
- Injury Medical Care
Types of forms used to pay Contributions
- CS1 -- Payment form for Self Employed Persons
- CS2 -- Contribution Schedule form for Monthly Paid Employees
- CS6 -- Contribution Schedule form for Weekly Paid Employees
- CS2a -- Not more than $50000 per month * New.
- CS2b -- More than $50000 per month * New.
- CS6a -- Not more than $11538 per week * New.
- CS6b -- More than $11538 per week * New.
- CS2 - Updated 14% * New.
- CS6 - Updated 14% * New.
Types of forms used for Registration and who would use them:
For Employed Persons
- R4A -- Self employed person’s application for Registration
- R4 -- Employed person’s application for Registration
- NIS Security Card
- R6 – NIS Security Card (Permanent)
- R13 -- Application for replacement of NIS Security Card
- R23 -- Application for Change of Name on Record
- R1 – Employer’s application for Registration
- R5 – List of Employed persons for Registration
- R23 -- Application for Change of Name or Records
Electronic Schedule Files
- Electronic Schedule Manual * New updated.
- Data Cleansing Excel Input File
- Data Cleansing Text File Format Description
- CS3 - Contribution Summary Sheet * Updated for October 2015.
- Electronic Schedule Excel File * Updated for January 2017.
- * NOTE - All contributors are required to remit at a rate of 14% as at September 2015.