SSS Form Download

sss form download

Social Security System

For those who are looking for SSS Form Download for membership, application for special programs, contributions, member loans, sss benefit applications, Flexi Fund Program, and PESO Fund program, we have given below a link where you can download or print the form you need to fill up and submit to the SSS office you are going to visit. The forms featured in this post are directly sourced from SSS agency website and re-posted on this website for your easier access.  
In July of 1948, the Social Security Commission was created which paved the way for the enactment of R.A. 1161 or the Social Security Act or 1954. But because of delays in its implementation, lawmakers are forced to make amendments to the bill thru R.A. 1792 which was submitted to congress. At this point, the Social Security Act was finally approved and implemented on September 1, 1957. The main goal of the commission is to promote a universal social justice and meaningful social security protection to the Filipino workforce. Especially to those who are bonafide members of the agency including their qualified dependents or beneficiaries. Social security protection means protection from the hazards of disability, sickness, maternity, old age, death, and any other eventualities that may result in a member’s loss of income or financial burden.

Given below are links to most of the downloadable and printable forms used by the Social Security agency in its day to day operations. For this post, the featured SSS forms are for Registration and Membership Forms, Contributions Form, Member Loans Forms, Benefits Application Forms, and forms for Flexi Fund and P.E.S.O. Fund Programs  Besides downloading, you can also choose to print any of these government forms whenever there is a readily available printer connected to a computer with active internet connection.


Member Forms

Personal Record Form (E-1)
Members Data Change Request (E-4)
UMID Card Application Form
Kasambahay Unified Registration Form
Overseas Worker Record (OW-1)
Non-Working Spouse Record (NW-1)


Contribution Collection List R-3
Contributions Payment Return RS-5
Contributions Payment Form
Miscellaneous Payment Form R-6
Auto Debit Arrangement Enrollment Form
Auto Debit Arrangement Amendment Form


Salary Loan Application
Member Loan Payment Return (ML-1)
Real Estate Loan Payment Form
Educational Assistance Loan Program (EALP)


Sickness Benefit

Sickness Notification Form
Sickness Reimbursement Form
Sickness Benefit Application Form (for Unemployed/SelfEmployed/Voluntary)
Medical Certificate (MMD-102)
EC Medical Reimbursement Application Form 1
EC Medical Reimbursement Application Form 2
ECMED Evaluation Sheet
Affidavit of Undertaking (Sickness or Maternity Benefit Claim)
Affidavit of Undertaking (Tagalog)
Affidavit of Undertaking (Visayan Version)

Maternity Benefit

Maternity Benefit Application
Maternity Notification
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 Application
Affidavit of Separation from Employment

Disability Benefit

Disability Claim Application
Employment Data Form
SSS Medical Certificate Form

Death Benefit

Death Claim Application
Affidavit for Death Benefit Claim

Funeral Benefit

Funeral Claim Application
Affidavit of Funeral Expenses
Sinumpaang Salaysay (Pinagbayaran sa Pagpapalibing)
Waiver (SS Funeral Benefit)
Pagpapaubaya (SSS Funeral Benefit)

Annual Confirmation of Pensioners

Application Form (Pensioner’s Reply)
Pensioners Data Change Request

EC Benefits

EC Claim for Temporary Total Disability or Sickness
EC Medical Reimbursement Benefit Application
EC Accident/Sickness Report


Flexi Fund Enrollment Form
Early Withdrawal Claim Form


PESO Fund Enrollment Form
PESO Fund Payment Form
PESO Fund Amendment Form
PESO Fund Withdrawal Form
PESO Fund Retirement Benefit Claim Form
PESO Fund Total Disability Benefit Claim Form
PESO Fund Death Benefit Claim Form

If you have questions you wish to ask about any of the said SSS form, you can inquire at any of the SSS branch office near your area. It is also advisable that you fill up the form you downloaded before going to the SSS offices where you will transact your business to avoid delays on your membership, loan application, benefit claims, or any other transactions related to SSS office.

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