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SSS DOWNLOADABLE FORMS


Registration and Membership

Member Forms

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

Employer-Member Forms

 

Employer Registration

  Employment Report
 

Employer Data Change Request

  Household Employer Unified Registration Form
  Household Employment Unified Report Form
  SSS Clearance Application
   

Application for Special Programs

  Sickness and Maternity Benefits Payment thru the Bank Form
   

Contributions

  Contribution Collection List
  Contributions Payment Return
  Employer Contributions Payment Return
  Miscellaneous Payment Return
  Contribution Penalty Condonation Form - Installment Proposal
  Contribution Penalty Condonation Form - Promissory Note
   

Member Loans

  Member Loan Application
  Monthly-Salary/Calamity/Educational/Emergency/Stock Investment Loan Payment Return
  Real Estate Loan Payment Return
  Educational Assistance Loan Program (EALP) Application Form
 

Application for Direct House Repair and/or Improvement Loan

 

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

 

Calamity Loan Assistance Application Form

Benefit Applications

 

DDR Application Form under Portability Law
Certification

   

Sickness Benefit

  Sickness Notification Form
  Sickness Benefit Reimbursement Application Form
  Sickness Benefit Application Form (for Self-Employed/Voluntary Member & Member Separated from Employment)
  Medical Certificate
  Employer Transmittal List (Sickness Benefit Reimbursement Application)
  Transmittal List (Sickness Benefit Application)
  Affidavit of Undertaking (English)

Maternity Benefit

  Maternity Benefit Application
  Maternity Notification
  Allocation of Maternity Leave Credits Form
  Maternity Benefit Reimbursement Application
  Affidavit of Undertaking (English)
  Salaysay ng Pagpapatunay at Pagpapatibay (Affidavit of Undertaking-Sickness/Maternity Benefit Claim)
  Salaysay (Affidavit of Undertaking-Sickness/Maternity Benefit Claim)

Retirement Benefit

  Retirement Claim Application Form
  Affidavit of Separation from Employment/Cessation of Self-Employment with Undertaking

Disability Benefit

  Disability Claim
  Employment Data
  Medical Certificate

Death Benefit

  Death Claim
  Affidavit for Death Benefit Claim

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

  Annual Confirmation of Pensioners (Pensioner's Reply)
  Pensioner's Data Change Request

EC Benefits

  Employees Notification
  EC Medical Reimbursement Application Form 1
  EC Medical Reimbursement Application Form 2
  ECMED Evaluation Sheet
 

Flexi Fund Program

  Flexi Fund Enrollment Form for Overseas Filipino Worker (OFW) Members
  Early Withdrawal Claim Form
   
P.E.S.O. Fund Program
  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
  Pensioner's Data Change Request
   

Freedom of Information

  FOI Request Form