SSA requests reimbursement for the cost of medical examinations obtained for the Icelandic
Liaison Agency using Form SSA 1278 U.S. - IS-9 (Request for Payment of Reimbursable
Expenses under U.S./Iceland Agreement on Social Security). Once the form is completed,
scan it into the electronic file and send a copy to:
Iceland Social Insurance Agency (SIA)
Tryggingastofnun International
Hlíðasmári 11,
201 Kópavogur
Iceland
Note: You can print this form from the SSA Totalization Forms section of the Office
of Earnings and International Operations, Division of International Operations Totalization
Resource Kit.