Forms and online requests

Affiliations

• All you need to do for an optimal digital service(.pdf-New window)
• What if there is a change in your personal or professional situation?(.pdf-New window)
• General conditions for collective supplementary insurance policies(.pdf-New window)
• General conditions for individual supplementary insurance policies(.pdf-New window)
• European direct debit mandate (in French)(.pdf-New window)
• Declaration of payments (Declaration of monthly or quarterly payments) (Model 5) (in French)(.pdf-New window)
• Declaration on honour regarding income (dependants) (Model 8) (in French)(.pdf-New window)
• Power of attorney (in French)(.pdf-New window)
• Declaration on honour of deferral of payment for employers impacted by the COVID-19 pandemic (in French)(.pdf-New window)
• Declaration on honour of deferral of payment for private indivuduals impacted by the COVID-19 pandemic (in French)(.pdf-New window)
• Request to cease the affiliation(.pdf-New window)

Affiliation

Would you like to join the Overseas Social Security on an individual basis? Then please complete the online form.

Continue to the form Affiliation - Individual(New window)

For additional information about individual affiliation and the applying conditions, please read the page Become a member or the document General conditions for individual affiliation(.pdf-New window) (in French).

Dependants

In case you have dependants, you need to fill out an additional form, more specifically the Declaration of income (dependants) – model 8 form(.pdf-New window) (in French). A list of documents you need when adding dependants can be consulted on the page Dependants and waiting time.

Useful documents

Here you find some documents that might be useful for you application, depending on your specific situation :

• If you want to pay via direct debit, which is recommended, you need to fill out the form Direct debit request(.pdf-New window) (in French).
• If needed you can use the document Power of attorney(.pdf-New window) (in French).

Are you an employer and would you like to collectively join the Overseas Social Security? First of all, you need to organise your own affiliation with an application for collective participation. As soon as you are affiliated as an employer, you make the requests for your individual employees.

Collective affiliation

To join the Overseas Social Security of the NSSO collectively, you need to fill out a number of online forms and/or documents.

Affiliation to the General Scheme

To affiliate to the General Scheme, please complete the online form.

Continue to the form Affiliation - Company(New window)

Affiliation to supplementary insurances on top of the General Scheme

In case you would like to offer your employees additional insurance for Medical Care or Workplace and private life accidents, please tick the required boxes in the above mentioned online form.

For the Workplace and private life accidents insurance you also need to fill out the insurance proposal for collective Workplace and private life accidents.

Signing up a member of staff

For each employee you want to sign up, please complete the online form.

Continue to the form Affiliation – Add employee(s) to a company contract(New window)

Has your company signed up for supplementary insurance? In that case employees having dependants need to fill out a Declaration of income (dependants) – model 8 form(.pdf-New window) (in French). Please bear in mind that consequently additional administrative requirements might apply. This to make sure all dependants can benefit from the supplementary Medical Care insurance. More information on this can be found on the page Dependants and waiting times (in French).

Declaring and paying contributions

Fill out the Declaration of monthly or quarterly contributions (model 5 form – in French)(.pdf-New window).