Untitled Document

SSS DOWNLOADABLE FORMS


Penalty Condonation Program for Housing Loans (PCPHL)

  Annex A - Application for Penalty Condonation Program for Housing Loans
  Annex B - Affidavit of Legal Heir/s of Decedent Housing Loan Borrower with Settled Estate (Single Account)
  Annex C - Affidavit of Legal Heir/s of Decedent Housing Loan Borrower with Settled Estate (Duplex Account)
  Annex D - Affidavit of Successor/s-in-interest (Single Account)
  Annex E -Affidavit of Successor/s-in-interest (Duplex Account)
  Annex F - Affidavit of Housing Loan Borrower (Duplex Account)
  Annex D - Penalty Condonation Program for Housing Loans (PCPHL) Promissory Note

Contribution Penalty Condonation, Delinquency Management and Restructuring Program for Business Employers

  Annex C1 - Application for Contribution Penalty Condonation, Delinquency Management and Restructuring Program Form
  Annex C2 - Checklist of Documentary Requirements
  Annex C3 - Undertaking
  Annex C4 - Affidavit of Inability to Pay
  Annex C5 - Installment Proposal
  Annex C6 - Promissory Note
  Annex C7 - Joint Undertaking
  Annex C8 - Undertaking for ER with No PDCs

Contribution Penalty Condonation and Restructuring Program for Household Employers

  Annex C1 - Application for Contribution Penalty Condonation, Delinquency Management and Restructuring Program Form for Household Employers
  Annex C2 - Checklist of Documentary Requirements for Household Applicant
  Annex C3 - Affidavit of Two Disinterested Persons
  Annex C4 - Certification by Homeowners/Condo
  Annex C5 - Installment Proposal
  Annex C6 - Promissory Note
  Annex C7 - Joint Undertaking
  Annex C8 - Undertaking

Housing Loan Penalty Condonation Program

  Application for Housing Loan Penalty Condonation Program
  Affidavit of Legal Heirs of Decedent HL Borrowers with Settled Estate (single account)
  Affidavit of Legal Heirs of Decedent HL Borrowers with Settled Estate (duplex account)
  Affidavit of Successor-in-Interest (single account)
  Affidavit of Successor-in-Interest (duplex account)
  Affidavit of Housing Loan Borrower (duplex account)

Pandemic Relief and Restructuring Program 3 - Enhanced Installment Program

  Annex A - Application for installment payment
  Annex B - Installment Payment (Regular ER with PDCs)
  Annex B - Installment Payment ( Regular ER with PDCs issued by Third Party)
  Annex B - Installment Payment ( Regular ER without PDCs)
  Annex B - Installment Payment (Houehold ER without PDCs)
  Annex B - Installment Payment (Household ER with PDCs issued by Third Party)
  Annex B - Installment Payment (Household ER with PDCs)
  Annex B - 1 Installment Payment Schedule
  Annex C - Notice of Conditional Approval
  Annex D - Notice of Denial
  Annex E - Undertaking
  Annex F - Joint Undertaking
  Annex G - Notice of Default
  Annex H - Notice of Termination

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
  Request/Verification Form
 

Employer-Member Forms

 

Employer Registration Form

  Employment Report
 

Employer Data Change Request

  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
  Contribution Penalty Condonation Form - Installment Proposal
  Contribution Penalty Condonation Form - Promissory Note
   

Member Loans

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

Application for Direct House Repair and/or Improvement Loan

 

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

  • Special Power of Attorney-Option to Sell Shares of Stock (SILP/PFLP)
 

Loan Restructuring Program (LRP) with penalty condonation

 

Calamity Loan Assistance Application Form

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
  Allocation of Maternity Leave Credits Form
  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

  ACOP Form (Pensioner's Reply)
  Pensioner's Data Change Request Form
Self-Declaration Form of Survivor Pensioner on Non-Remarriage/Non-Cohabitation

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
   
   

Member Concern

  Sinumpaang Salaysay For Authorized Representative (mca-01620)
  Sinumpaang Salaysay para sa Miyembro (mca-01619)
  Sinumpaang Salaysay For Authorized Representative (mca-01618)
  Customer Information Form (mca-01616)
  Sinumpaang Salaysay (mca-01617)