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SSS Downloadable Form PDF

This document lists various downloadable forms available from the SSS for members, employers, and beneficiaries. It includes forms for member data changes, UMID applications, employer registration, contributions, loans, benefits like sickness, maternity, retirement, disability, death claims, funeral benefits, pensioner confirmation, and supplementary forms. It also includes the 2023 contribution tables and a summary of documentary requirements for certain forms.

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Farrah Gaviola
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26K views2 pages

SSS Downloadable Form PDF

This document lists various downloadable forms available from the SSS for members, employers, and beneficiaries. It includes forms for member data changes, UMID applications, employer registration, contributions, loans, benefits like sickness, maternity, retirement, disability, death claims, funeral benefits, pensioner confirmation, and supplementary forms. It also includes the 2023 contribution tables and a summary of documentary requirements for certain forms.

Uploaded by

Farrah Gaviola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SSS DOWNLOADABLE FORMS

PLEASE BE INFORMED THAT THE FOLLOWNG FORMS ARE NOT FOR SALE!

MEMBERS FORM
E – 4 Form (Member Data Change Request)
UMID Application (Unified Multi-Purpose ID Card) Application
Kasambahay Employer Registration Unified Registration Form
Request/Verification Form
Complain on Non-filing or Non-receipt of Loan
Complain on Non-remittance of Contributions
UMID Affidavit of Non-Receipt
UMID Affidavit of Loss

EMPLOYERS FORM
New Employer Registration (complete set w/ requirements)
Household Employer Unified Registration (complete set w/ requirements)
Initial Processing & Renewal of Company Representative ID Card
Request for Building in the Local Database/BUILD UP (complete set w/ requirements)
Employer Registration (R-1)
Employment Report (R-1A)
Employer Data Change Request (R-8)
Household Employer Unified Registration Form
Household Employment Unified Report Form
Web Registration Data for Employers

CONTRIBUTIONS
Payment Slip
Miscellaneous Payment Return

MEMBER LOANS
Monthly Loan Payment Return
Real Estate Loan Payment Return
Educational Assistance Loan Program (EALP) Application Form

SICKNESS BENEFIT
Sickness Benefit Reimbursement Application Form for employed
Medical Certificate

MATERNITY BENEFIT
Maternity Benefit Reimbursement Application for Employed
Allocation for Maternity Leave Credits
OB History Form

RETIREMENT CLAIM
Retirement Claim Application (complete set w/ list of documentary requirements)

DISABILITY CLAIM
Disability Claim Application (Complete set)

DEATH CLAIM
Death Claim Application (complete set w/ list of documentary requirements)
Joint Affidavit re: Legal Heirs (SSS Form CLD 1.3)
Affidavit for Death Claim (SSS Form CLD 1.3A)
Affidavit re: Guardianship of Incompetent (SSS Form CLD 1.1B)
Application for Appointment as Representative Payee (CLD 15)
Guarantors Form
Report of Death
Affidavit of Dependent Parent/s
SSS DOWNLOADABLE FORMS
PLEASE BE INFORMED THAT THE FOLLOWNG FORMS ARE NOT FOR SALE!

FUNERAL BENEFIT
Funeral Claim Application (compete set w/ list of documentary requirements)

ANNUAL CONFIRMATION OF PENSIONER (ACOP)


Annual Confirmation of Pensioners (w/ requirements)
Pensioner's Data Change Request
Pensioner’s Helpdesk Request Form

SUPPLEMENTARY FORMS
Specimen Signature Card
RTS SSS UMID Card Receipt Form
Blue Card Application
Guide on HOW TO with E-CENTER SERVICES
Consolidated Loan Program Handout

2023 NEW CONTRIBUTION TABLE


2023 SSS Contri - EMPLOYER AND EMPLOYEE
2023 SSS Contri - SELF-EMPLOYED MEMBER
2023 SSS Contri - VOLUNTARY MEMBER & NON-WORKING SPOUSE
2023 SSS Contri - LAND-BASED OFW MEMBERS
2023 SSS Contri - HOUSEHOLD EMPLOYER AND KASAMBAHAY

SUMMARY OF DOCUMENTARY REQUIREMENTS


Member Data Change Request (E-4)
Request for Verification
Annual Confirmation of Pensioner
Death Claim
Funeral Claim

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