Basic (09-26)

GN 01775.325 Social Security Administration (SSA) Medical Reimbursement Form

 

SSA uses the Form SSA 1278 USA/RO 5 (Request for Payments of Reimbursable Expenses under U.S. - Romania Agreement on Social Security) for reimbursement of medical expenses regarding requests for exams.

 

The Form SSA 1278 USA/RO 5 (Request for Payment of Reimbursable Expenses under U.S.A.- Romania Agreement on Social Security) is available on the located on the SSA Totalization Formssection of the International Operations, International Benefits and Processing, Totalization Resource Kit.

 

Mail the form to:

For Disability Claims:

National House of Public Pensions

#8 Latina Street,

2nd District,

Bucharest 020793