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SSS DOWNLOADABLE FORMS


Registration and Membership

Member Forms

  Personal Data Record
  Member's Data Change Request
  Unified Multi-Purpose ID (UMID) Card Application Form
  Kasambahay Unified Registration Form
 

Employer-Member Forms

 

Employer Registration Form

  Employment Report
 

Employer Data Change Request

  Employer Registration Plate
  Household Employer Unified Registration Form
  Household Employment Unified Report Form
   

Application for Special Programs

  Cooperative Accreditation as Servicing/Collecting Agent
 
  Sickness and Maternity Benefits Payment thru the Bank Form
   

Contributions

  Contribution Collection List
  Contributions Payment Return
  Contributions Payment Form
  Miscellaneous Payment Return
  Auto-Debit Arrangement Enrollment Form
  Auto-Debit Arrangement Amendment Form
   

Member Loans

  Salary Loan Application
  Member Loan Payment Return
  Real Estate Loan Payment Return
  Educational Assistance Loan Program
 

Application for Direct House Repair and/or Improvement Loan

  Member Loan Application (Typhoon Nina )
 

Application for Option to Sell Shares of Stock (SILP/PFLP)

   
   

Benefit Applications

 

DDR Application Form under Portability Law
Certification

   

Sickness Benefit

  Sickness Notification Form
  Sickness Reimbursement Form
  Sickness Benefit Application Form (for Unemployed/Self-Employed/Voluntary)
  Medical Certificate
  EC Medical Reimbursement Application Form 1
  EC Medical Reimbursement Application Form 2
  ECMED Evaluation Sheet
  Employer Transmittal List (Sickness Benefit Reimbursement Application)
  Transmittal List(Sickness Benefit Application)
  Affidavit of Undertaking (English)
  Affidavit of Undertaking (Tagalog)
  Affidavit of Undertaking (Visayan Version)

Maternity Benefit

  Maternity Benefit Application
  Maternity Notification
  Maternity Reimbursement
  Transmittal List (Maternity Benefit Application)
  Employer Transmittal List (Maternity Benefit Reimbursement Application)
  Affidavit of Undertaking (English)
  Affidavit of Undertaking (Tagalog)
  Affidavit of Undertaking (Visayan Version)

Retirement Benefit

  Retirement Claim
  Affidavit of Separation from Employment

Disability Benefit

  Disability Claim
  Employment Data Form
  Medical Certificate

Death Benefit

  Death Claim
  Affidavit for Death Claim Benefits

Funeral Benefit

  Funeral Claim
  Affidavit of Funeral Expenses
  Sinumpaang Salaysay (Pinagbayaran sa Pagpapalibing)
  Waiver (SS Funeral Benefit)
  Pagpapaubaya (SSS Funeral Benefit)

Annual Confirmation of Pensioners

  Application Form (Pensioner's Reply)
  Pensioner's Data Change Request Form

EC Benefits

  EC Claim for Temporary Total Disability or Sickness
  EC Medical Reimbursement Benefit Application
  EC Accident/Sickness Report
 

Flexi Fund Program

  Flexi Fund Enrollment Form
  Early Withdrawal Claim Form
   
P.E.S.O. Fund Program
  SSS P.E.S.O. Fund Enrollment Form
  SSS P.E.S.O. Fund Payment Form
  SSS P.E.S.O. Fund Amendment Form
  SSS P.E.S.O. Fund Withdrawal Form
  SSS P.E.S.O. Fund Retirement Benefit Claim Form
  SSS P.E.S.O. Fund Total Disability Benefit Claim Form
  SSS P.E.S.O. Fund Death Benefit Claim Form

Supplementary Forms

  Specimen Signature Card
  Sinumpaang Salaysay
  Member's/Claimants Photo and Signature Card
   

Freedom of Information

  FOI Request Form