SSS DOWNLOADABLE FORMS
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Penalty Condonation Program for Housing Loans (PCPHL) |
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Annex A - Application for Penalty Condonation Program for Housing Loans |
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Annex B - Affidavit of Legal Heir/s of Decedent Housing Loan Borrower with Settled Estate (Single Account) |
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Annex C - Affidavit of Legal Heir/s of Decedent Housing Loan Borrower with Settled Estate (Duplex Account) |
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Annex D - Affidavit of Successor/s-in-interest (Single Account) |
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Annex E -Affidavit of Successor/s-in-interest (Duplex Account) |
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Annex F - Affidavit of Housing Loan Borrower (Duplex Account) |
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Annex D - Penalty Condonation Program for Housing Loans (PCPHL) Promissory Note |
Contribution Penalty Condonation, Delinquency Management and Restructuring Program for Business Employers |
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Annex C1 - Application for Contribution Penalty Condonation, Delinquency Management and Restructuring Program Form |
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Annex C2 - Checklist of Documentary Requirements |
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Annex C3 - Undertaking |
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Annex C4 - Affidavit of Inability to Pay |
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Annex C5 - Installment Proposal |
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Annex C6 - Promissory Note |
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Annex C7 - Joint Undertaking |
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Annex C8 - Undertaking for ER with No PDCs |
Contribution Penalty Condonation and Restructuring Program for Household Employers |
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Annex C1 - Application for Contribution Penalty Condonation, Delinquency Management and Restructuring Program Form for Household Employers |
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Annex C2 - Checklist of Documentary Requirements for Household Applicant |
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Annex C3 - Affidavit of Two Disinterested Persons |
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Annex C4 - Certification by Homeowners/Condo |
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Annex C5 - Installment Proposal |
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Annex C6 - Promissory Note |
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Annex C7 - Joint Undertaking |
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Annex C8 - Undertaking |
Housing Loan Penalty Condonation Program |
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Application for Housing Loan Penalty Condonation Program |
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Affidavit of Legal Heirs of Decedent HL Borrowers with Settled Estate (single account) |
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Affidavit of Legal Heirs of Decedent HL Borrowers with Settled Estate (duplex account) |
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Affidavit of Successor-in-Interest (single account) |
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Affidavit of Successor-in-Interest (duplex account) |
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Affidavit of Housing Loan Borrower (duplex account) |
Pandemic Relief and Restructuring Program 3 - Enhanced Installment Program |
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Annex A - Application for installment payment |
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Annex B - Installment Payment (Regular ER with PDCs) |
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Annex B - Installment Payment ( Regular ER with PDCs issued by Third Party) |
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Annex B - Installment Payment ( Regular ER without PDCs) |
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Annex B - Installment Payment (Houehold ER without PDCs) |
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Annex B - Installment Payment (Household ER with PDCs issued by Third Party) |
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Annex B - Installment Payment (Household ER with PDCs) |
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Annex B - 1 Installment Payment Schedule |
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Annex C - Notice of Conditional Approval |
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Annex D - Notice of Denial |
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Annex E - Undertaking |
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Annex F - Joint Undertaking |
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Annex G - Notice of Default |
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Annex H - Notice of Termination |
Registration and Membership |
Member Forms |
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Personal Data Record |
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Member's Data Change Request
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Unified Multi-Purpose ID (UMID) Card Application Form |
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Kasambahay Unified Registration Form |
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Request/Verification Form |
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Employer-Member Forms |
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Employer Registration Form |
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Employment Report |
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Employer Data Change Request |
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Household Employer Unified Registration Form |
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Household Employment Unified Report Form |
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Application for Special Programs |
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Cooperative Accreditation as Servicing/Collecting Agent |
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Sickness and Maternity Benefits Payment thru the Bank Form |
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Contributions |
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Contribution Collection List |
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Contributions Payment Return |
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Contributions Payment Form |
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Miscellaneous Payment Return |
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Auto-Debit Arrangement Enrollment Form |
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Auto-Debit Arrangement Amendment Form |
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Contribution Penalty Condonation Form - Installment Proposal |
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Contribution Penalty Condonation Form - Promissory Note |
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Member Loans |
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Member Loan Application |
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Member Loan Payment Return |
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Real Estate Loan Payment Return |
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Educational Assistance Loan Program |
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Application for Direct House Repair and/or Improvement Loan
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Application for Option to Sell Shares of Stock (SILP/PFLP)
- Special Power of Attorney-Option to Sell Shares of Stock (SILP/PFLP)
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Loan Restructuring Program (LRP) with penalty condonation
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Calamity Loan Assistance Application Form
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Benefit Applications |
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DDR Application Form under Portability Law
Certification |
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Sickness Benefit |
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Sickness Notification Form |
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Sickness Reimbursement Form |
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Sickness Benefit Application Form (for Unemployed/Self-Employed/Voluntary) |
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Medical Certificate |
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EC Medical Reimbursement Application Form 1 |
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EC Medical Reimbursement Application Form 2 |
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ECMED Evaluation Sheet |
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Employer Transmittal List (Sickness Benefit Reimbursement Application) |
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Transmittal List(Sickness Benefit Application) |
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Affidavit of Undertaking (English) |
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Affidavit of Undertaking (Tagalog) |
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Affidavit of Undertaking (Visayan Version) |
Maternity Benefit |
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Maternity Benefit Application |
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Maternity Notification |
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Allocation of Maternity Leave Credits Form |
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Maternity Reimbursement |
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Transmittal List (Maternity Benefit Application) |
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Employer Transmittal List (Maternity Benefit Reimbursement Application) |
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Affidavit of Undertaking (English) |
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Affidavit of Undertaking (Tagalog) |
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Affidavit of Undertaking (Visayan Version) |
Retirement Benefit |
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Retirement Claim |
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Affidavit of Separation from Employment |
Disability Benefit |
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Disability Claim |
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Employment Data Form |
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Medical Certificate |
Death Benefit |
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Death Claim |
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Affidavit for Death Claim Benefits |
Funeral Benefit |
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Funeral Claim |
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Affidavit of Funeral Expenses |
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Sinumpaang Salaysay (Pinagbayaran sa Pagpapalibing) |
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Waiver (SS Funeral Benefit) |
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Pagpapaubaya (SSS Funeral Benefit) |
Annual Confirmation of Pensioners |
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ACOP Form (Pensioner's Reply) |
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Pensioner's Data Change Request Form
Self-Declaration Form of Survivor Pensioner on Non-Remarriage/Non-Cohabitation |
EC Benefits |
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EC Claim for Temporary Total Disability or Sickness |
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EC Medical Reimbursement Benefit Application |
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EC Accident/Sickness Report |
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Flexi Fund Program |
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Flexi Fund Enrollment Form |
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Early Withdrawal Claim Form |
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| P.E.S.O. Fund Program |
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SSS P.E.S.O. Fund Enrollment Form |
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SSS P.E.S.O. Fund Payment Form |
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SSS P.E.S.O. Fund Amendment Form |
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SSS P.E.S.O. Fund Withdrawal Form |
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SSS P.E.S.O. Fund Retirement Benefit Claim Form |
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SSS P.E.S.O. Fund Total Disability Benefit Claim Form |
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SSS P.E.S.O. Fund Death Benefit Claim Form |
Supplementary Forms |
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Specimen Signature Card |
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Sinumpaang Salaysay |
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Member's/Claimants Photo and Signature Card |
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Freedom of Information |
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FOI Request Form |
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Member Concern |
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Sinumpaang Salaysay For Authorized Representative (mca-01620) |
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Sinumpaang Salaysay para sa Miyembro (mca-01619) |
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Sinumpaang Salaysay For Authorized Representative (mca-01618) |
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Customer Information Form (mca-01616) |
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Sinumpaang Salaysay (mca-01617) |
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