Marshall Islands Social Security Administration

Majuro Atoll Office
P.O. Box 175, Majuro, MH 96960
Telephone (692) 625-3101/3102
Facsimile (692) 625-4570
 
Ebeye, Kwajalein Office
P.O. Box 5850, Majuro, MH 96970
Telephone (692) 329-3788
Facsimile (692) 329-3902
e-mail: missa3@ntamar.net
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Downloadable Marshall Islands Social Security System Forms


Application for retirement insurance benefits (1.5 MB)

Application for disability insurance benefits (1.7 MB)

Application for survivor insurance benefits (3.2 MB)

Application for lump-sum death payment (1.3 MB)

Employer quarterly tax return (616K)

Application for employment identification number (488K)

Application for Marshall Islands Social Security Number (588K)

Certification of School Attendance (11.6K)

Authorization to disclose medical information (62KB)

Lump sum benefit payees (56KB)

Medical report (77KB)

Request for change of address (49KB)

Representative Payee (73KB)

Medical Source Statement Form (887KB)

Bank Detail Informations Application (97KB)

Retirees Day 2006 [below]