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Local Survivors Benefit Application

This form should be completed prior to visiting the Social Security Office. Please note that in addition this completed form, required documents must be presented when visiting the Social Security Office.

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Overseas Survivors Benefit Application

This form should be completed prior to visiting the Social Security Office. Please note that in addition this completed form, required documents must be presented when visiting the Social Security Office.

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Local Life Certificate

A life certificate MUST be submitted in order to continue receiving the monthly payments. The Life Certificate must be signed by any person listed on the Life Certificate. This activity should be done twice a year — June and December - for pensioners living in Antigua...

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Overseas Life Certificate

A life certificate MUST be submitted in order to continue receiving the monthly payments. The Life Certificate must be signed by any person listed on the Life Certificate. This activity should be done every quarter - March, June, September and December - for...

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Funeral Grant Application Form

This form should be completed prior to visiting the Social Security Office. Please note that in addition this completed form, required documents must be presented when visiting the Social Security Office.

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Maternity Benefit

This form should be completed prior to visiting the Social Security Office. Please note that in addition to this completed Form, the Certificate of Confinement must be presented when submitting the Maternity Benefit Claim Form.

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Sickness Benefit Application Form

This form should be completed prior to visiting the Social Security Office. Please note that in addition this completed form, required documents must be presented when visiting the Social Security Office.

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C3

These forms are submitted by the employers in respect of their employees for the periods January – June and July – December, annually. The form captures the employees’ full names, addresses, social security registration numbers, occupation, date of birth, period of...

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