SSS DOWNLOADABLE FORMS
PLEASE BE INFORMED THAT THE FOLLOWNG FORMS ARE NOT FOR SALE!
MEMBERS FORM
E – 4 Form (Member Data Change Request)
Kasambahay Employer Registration Unified Registration Form
Request/Verification Form
Complaint on Non-filing or Non-receipt of Loan
Complaint on Non-remittance of Contributions
UMID Affidavit of Non-Receipt
UMID Affidavit of Loss
Declaration of Source of Income for Self-Employed Members
Data Privacy Notice – Certification and Agreement
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
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 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
Declaration of Source of Income for Deceased Self-employed members
FUNERAL BENEFIT
Funeral Claim Application (compete set w/ list of documentary requirements)
Affidavit of Funeral Expenses with Undertaking (new)
Joint Affidavit (non-payment of funeral expenses by, or unknown location of spouse) (new)
Waiver of Claim for Funeral Expenses (new)spouse
SSS DOWNLOADABLE FORMS
PLEASE BE INFORMED THAT THE FOLLOWNG FORMS ARE NOT FOR SALE!
ANNUAL CONFIRMATION OF PENSIONER (ACOP)
ACOP for Surviving Legal Spouse Pensioner
ACOP for Retirement or Total Disability Pensioner
ACOP for Representative Payee of Dependent Minor or Incapacitated Child
Pensioner's Data Change Request
Pensioner’s Helpdesk Request Form
FLEXI FUND PROGRAM
Flexi Fund Program Early Withdrawal Claim Form
P.E.S.O. FUND PROGRAM
SSS P.E.S.O. Fund Withdrawal 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
Affidavit of Undertaking (Non-Receipt of Advance Payment for Sickness/Maternity Benefit)
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
2025 NEW CONTRIBUTION TABLE
EMPLOYER (ER) AND EMPLOYEE (EE)
HOUSEHOLD EMPLOYER (HR) AND KASAMBAHAY/ HOUSEHOLD EMPLOYEE (HE)
LAND-BASED OFW MEMBERS
SELF-EMPLOYED MEMBER
VOLUNTARY MEMBER & NON-WORKING SPOUSE
SUMMARY OF DOCUMENTARY REQUIREMENTS
Member Data Change Request (E-4)
Request/ Verification Form
Annual Confirmation of Pensioner (ACOP)
Death Claim
Funeral Claim
