Sss form sickness 2026

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The document is a Sickness Notification form (SSS Form CLD-9N) used in the Philippines for employees to notify their employer and the Social Security System (SSS) about their confinement due to illness. It includes sections for the confined member's details, medical certification by the attending physician, and acknowledgment from both the employer and employee. The form outlines procedures for notification, submission requirements, and instructions for handling prolonged sickness cases.

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Click ‘Get Form’ to open the SSS Form Sickness in the editor.
Begin by filling out Part I. Enter your SS Number, name, and employer details. Ensure all information is printed clearly.
Provide the exact date your confinement started and the address of your confinement. This section is crucial for notifying your employer.
In the signature area, sign over your printed name. If you cannot write, print your right thumbmark as an alternative.
Move to Part II for the Medical Certificate. The attending physician will need to fill this out, including their findings and diagnosis.
Finally, ensure that both you and your employer acknowledge receipt of this notification in Part III before submission.

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