Republic of Palau

Social Security Administration

P.O. Box 679, Koror, Palau 96940

administration@ropssa.pw

SSA Office: Tel (680) 488-2457 | Fax: (680) 488-1470

HCF Office: Tel (680) 488-1904 | Fax: (680) 488-4019

Online Payment Forms

** NOTE **

PLEASE ALLOW 24-48 HOURS TO RECEIVE A FULL RECEIPT OR CONFIRMATION OF YOUR ONLINE FILING OR PAYMENT VIA E-MAIL.

SS Payment Forms

Employer's Quarterly Tax Report

↵ Download form: Employer's Quarterly Tax Report

Employer Without Employee(s) Quarterly Tax Report

↵ Download form: Employer Without Employee(s) Quarterly Tax Report

Self-Employed/Domestic Employer's Quarterly Tax Report

↵ Download form: Self-Employed/Domestic Employer's Quarterly Tax Report

Benefit Certification Request Form

HCF Payment Forms

↵ Download form: Deposit to MSA

MSA Additional Allotments

↵ Download form: MSA Additional Allotments

Quarterly NHI Subscription Payment Form

↵ Download form: Quarterly NHI Subscription Payment Form

ENGLISH TUTORIAL

PALAUAN TUTORIAL