Forms

Registration

These are the forms used for registration of Individuals, Self-Employed Persons, Voluntarily Insured Persons and Employers.

Select the required form from the list.

Registration Forms

Update

R1 Registration

Employer, Secondary, Self-employed or Voluntarily insured persons to register. Please email completed form to registration@nib-bahamas.com

09.24.2015

 


 R1B Registration
Employer, Secondary or Self-employed persons to register for Employer Self Service (ESS). Please email completed form to ess@nib-bahamas.com   
10.26.2022

R4 Individual

Individual registration form used to procure a National Insurance Board number.

02.03.2016

R4b Supplementary

Supplementary Form Details of Children

06.02.2014

R6b Registration Authorization 

Registration Authorization to Collect National Insurance Cards (R6) on Behalf of Registrants 16 years and over.

05.14.2014

 

NIB Value Added Tax TIN

VAT Certificate of Registration

01.23.2015

 

Contribution

These are the forms used for submission of monthly contributions data. 

Select the required form from the list.

Contribution Forms

Update

  Contribution Rate Sheet
Updated contributions rates
 07.01.2022

NIB Contribution tables - Effective July 2022

The National Insurance Board Contributions Table. This shows the various contributions one can make in tabular form.

07.01.2022

Refund of Contributions

Refund of Contributions

01.22.2013

C-10 File Instructions

This file provides instructions for use of both of the C-10 File Spreadsheets available below. Please download and review this document before using the Form C-10 Spreadsheets.

07.24.2014

Hospitality Form C-10 Spreadsheet (18-05-2022)

This is the downloadable C-10 File Spreadsheet. Please review the instructions above before using this spreadsheet. 

06.15.2022

Non-Hospitality Form C-10 Spreadsheet (18-05-2022)

This is the downloadable C-10 File Spreadsheet. Please review the instructions above before using this spreadsheet. 

06.15.2022


Employers Registration for Online C10s

This form is required to be completed by all employers who wish to use the Online C10 System. The form should be completed by an authorized person of the company and sent to NIB for processing.

02.09.2012


Online - C10

The Online C10 form allows you, the employer, the ability to edit, review, and add to your employee register.

09.14.2009


Self-Employed Registration for Online C10s

This form is required to be completed by all self-employed persons who wish to use the Online C10 System. The form should be completed by the self-employed person and sent to NIB for processing.

02.09.2012

 

Contribution Interest Collection (Notice)

This notice informs you that Interest will be added to late Contribution payments.

04.04.2013 

C10 (A) Form

This form provides employers monthly contribution statements.

09.24.2015

C10 (A) Form Instructions 

This form provides instructions for completing C10 (A) form. 

09.24.2015 

C10 (B_C) Form

This form provides employers monthly contribution statements for employees starting and leaving this month.

09.24.2015

C10 (B_C) Form Instructions

This form provides instructions for completing C10 (B_C) form. 

09.24.2015 

C10 (SE_V) Form 

This form is for self-employed and voluntary persons.

09.24.2015

C10 Form (Self-Employed and Voluntary) Instructions

This form provides instructions for completing the self-employed and voluntary C10 form.

09.24.2015 

 

 
(I.5) Statement by Employed Persons

 
This form is required for employed persons who are missing contributions. 
 
10.27.22

Benefit & Assistance 

These are the forms used for submission of claims Short Term Benefits, Long Term Benefits and Medicare Benefits

Select the required form from the list.

Benefit & Assistance Forms (Verification)

Update

Authorization to Pay a Representative Form

Form to be submitted when sending someone to collect a payment from NIB on your behalf.

-

B.44 Industrial Accident

Form required for submission of claims for industrial accident/injury benefit.

03.22.2013

B.44 Self Employed

Form required for submission of industrial accident for self-employed persons.

03.22.2013 

 

B.46 Employer Contribution Request Form

Form provides the total insurable wages on which contributions have been paid or are due to be paid. 

07.21.2015 

B.47 Disablement

Form required for submission of claims for disablement benefit.

09.14.2009

B.51 Form Funeral Benefit

Form required for submission of claims for funeral benefit.

03. 2017

B.58 Form - Retirement 

This form needs to be completed to begin the process associated with Retirement Benefit.

05. 2017

B.58(b) Form - Retirement 

All claims for Retirement Benefit made by individuals younger than 65 years must be accompanied by the Employers Retirement Confirmation (Form B58[b]). This form seeks the employer's verification that the claimant has retired from his employ, or if not retired, confirmation of the wages paid. It is to be duly completed and signed by the employer or his representative.

 08.2019

B.67 Beneficiary Deceased

Form required for submission of claims for Survivors Benefit or Assistance.

09.14.2009

 

B.80 Termination of Service 

Lay-Off Certificate 

07.21.2015 

Med.1 Sickness Injury

Form required for submission of claims for sickness and injury benefits.

03.12.2020

Med.1A Sickness Injury

Form required for submission of claims for sickness and injury benefits when period of incapacity exceeds 26 weeks.

09.14.2009

Med.2 Maternity

Form required for submission of claims for maternity benefit/grant for both before and after confinement.

09.14.2009

Med.3B Maternity Grant (Spouse)

Form required for submission of claims for maternity grant, where the spouse's contributions are being used.

09.14.2009

Med.4 Employer Certificate

Form required for certification or confirmation by the employer of claimants stated period of incapacity.

09.24.2015

 


 
Form B.60 

Form required for a one time visit within the first 72 hours from the date of accident only. All further care must be   pre-approved by the National Insurance Board..
 
 
08.11.2022
 


 
B.75a Form
 
Form needed for twice annual verification by pensioners in receipt of assistance benefit.

 
08.05.2022

B.75a (OANCP)

Form needed for twice annual verification by pensioners in receipt of Old Age Non-Contributory Pension

03.9.2020

 
B.75a (INVA)
Form needed for twice annual verification by pensioners in receipt of Invalidity Assistance   

03.9.2020

 
 
B.75a (SA)
Form needed for twice annual verification by pensioners in receipt of Survivor’s Assistance – spouse, children and parents   

03.9.2020

 
 
B.75b (Ret)


Form needed for twice annual verification by pensioners in receipt of Retirement Benefit

 

03.9.2020

   
B.75b (INV)


Form needed for twice annual verification by pensioners in receipt of Invalidity Benefit 

 

03.9.2020

B.75b (SB/Death)

Form needed for twice annual verification by pensioners in receipt of Survivors Benefit and Death Benefit

03.9.2020

   
B75b Form

Form needed for twice annual verification by pensioners in receipt of a benefit.
 

 
20.04.2023

B82 -Unemployment Benefit  

Claim For Unemployment Benefit

03.26.2020

Invalidity Benefit Claim Form

Invalidity Benefit Claim Form

06.22.2010

B.90 Survivors Student Confirmation

NIB requires confirmation of attendance and status of enrollment at educational institutions for students who are between the ages of 16 and 21 years in order to determine eligibility for Survivors Benefit.

26.8.19

Survivors Benefit Claim Form

Survivors Benefit Claim Form amended

01.04.2011

Direct Deposit of Benefit/ Assistance to Bank Account

Direct Deposit Form for direct banking

06.14.2013

  Wire Transfer Request Form

If you live outside of The Bahamas and are entitled to a one-time benefit or grant, use this form to request a wire transfer of your funds.

 01.10.19
 

Complete this form and submit along with any claim for benefit or assistance where the basis for your eligibility is a spousal relationship with an individual to whom you were/are not lawfully married but with whom you claim a common law marriage.

  01.10.19

Brochures

These documents help to explain various aspects of the National Insurance Program in concise, easy-to-read language.

Select the required form from the list.

Brochures

Update

Contributions Table (Employed Persons)

This shows the various contributions employed persons can make in tabular form.

07.08.2014

Contributions Table (Self-Employed Persons) 

This shows the various contributions self-employed persons can make in tabular form. 

07.09.2014 

Industrial Benefits

This brochure explains the Industrial Benefits and how it can support you and your family in your time of need.

08.30.2021

Jitney Leaflet

This leaflet is an explanation of how Jitney drivers make their contributions and subsequently qualify for benefits/assistances.

09.14.2009

Maternity Benefit Leaflet 

This brochure explains how a woman can qualify and claim for the Maternity Benefit and Grant.

09.11.2019

Registration & Contributions

This brochure explains, in a snapshot, the process of Registration and Contributions at NIB.

07.08.2014

Retirement Benefit Leaflet 

This brochure explains what the Retirement Benefit is, the qualifying conditions, how the amount of benefit is determined, when and how to claim, and how it is paid.

09.11.2019

Self-Employed 

This brochure explains all that the Self-Employed person needs to know about their relationship with NIB.

09.11.2019

Sickness & Invalidity Benefits

This brochure explains all qualifying conditions and method of payment for the Sickness Benefit and Invalidity Benefit.

09.11.2019

Survivors Benefit  

This brochure is an informational piece which describes how to claim and qualify for the Survivors' Benefit. It also breaks down the details of the payment and gives you information on how to find out more.

09.11.2019

Benefits at a Glance

This leaflet gives a snapshot view of all of the  benefits and assistance provided by National Insurance.

09.14.2009

Funeral Benefit 

This leaflet gives basic information on the Funeral  Benefit provisions of National Insurance.

09.11.2019

Unemployment Benefit  

This leaflet provides information on the newest  benefit provided by National Insurance.

09.11.2019 

Contribution Rates

This leaflet provides information on the newest  NIB Contribution Rates provided by National Insurance.

07.08.2014

2016 Verification Dates 

This leaflet provides information about verification dates.

01.12.2016

Publications

These documents include Annual Reports of The National Insurance Board.

Select the required form from the list.

Publications

Update

2001 Annual Report

This is the 2001 Annual Report.

09.14.2009

2002 Annual Report

This is the 2002 Annual Report.

09.14.2009

2003 Annual Report

This is the 2003 Annual Report.

09.14.2009

2004 Annual Report

This is the 2004 Annual Report.

09.14.2009

2005 Annual Report

This is the 2005 Annual Report.

09.14.2009

2007 Annual Report

This is the 2007 Annual Report.

09.14.2009

2008 Annual Report

This is the 2008 Annual Report.

09.14.2009

2011 Annual Report

 This is the 2011 Annual Report.

08.01.2012

2012 Annual Report

This is the 2012 Annual Report.

10.04.2013

2013 Annual Report

This is the 2013 Annual Report. 

09.04.2014 

 

2014 Annual Report 

This is the 2014 Annual Report. 

09.02.2015 

2015 Annual Report

This is the 2015 Annual Report. 

09.09.2016

2016 Annual Report 

This is the 2016 Annual Report

02.02.2018

 



2017 Annual Report 

 This is the 2017 Annual Report

 06.09.2020

Other Reports

These documents include Actuarial Reviews, Forensic Report & Social Security Commission Reform Report of The National Insurance Board.

Select the required form from the list.

Publications

Update

2005 SSRC Report

This is the Bahamian Report of the Social Security Reform Commission compiled in April, 2005.

09.14.2009

7th Actuarial Review

This actuarial review makes 13 recommendations which are approved by the board.

09.14.2009

8th Actuarial Review

This is the 8th actuarial review.

09.14.2009

2013 Forensic Report

Grant Thornton Forensic Report into allegations against Mr. Algernon Cargill

05.27.2013

 

9th Actuarial Review

This is the 9th Actuarial Review.

10.04.2013