Sss sickness notification form 2025

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A member is qualified to avail of this benefit if she: Has paid at least three (3) months of contributions in the 12-month period immediately preceding the semester of childbirth, miscarriage, or ETP. Has duly notified the employer of her pregnancy and the probable date of her childbirth, if employed.
Death Certificate duly registered with LCR or issued by the PSA of the following, whichever is applicable: Birth Certificate of the deceased member. Joint Affidavit (CLD-1.3) preferably by the relatives of the deceased member. For legal heirs, birth certificate of at least two (2) legal heirs.
A member is qualified to avail of this benefit if he/she: Is unable to work due to sickness or injury and is confined either in a hospital or at home for at least four (4) days. Has paid at least three (3) months of contributions within the 12-month period immediately preceding the semester of sickness or injury.
What is sss sickness notification form? The SSS Sickness Notification Form is an official document used by the Social Security System (SSS) in the Philippines to report the illness of an SSS member.
Log in to your My.SSS account. Click Submit Sickness Benefit Application under the E-Services tab. Read the important reminders, then click Proceed to continue. Supply all required information, then click Proceed.

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3 Steps to Get a copy of the SSS E-4 Form Online Step 1: Visit the SSS.gov.ph Website and go to forms. The forms link is located at the bottom/footer part of the page. Step 2: Go to Members Data Change Request Link and Download the E4 Form. Step 3: Save a copy and print the SSS E4 Form.
To Sickness Notification Form must be | Sickness Notification Form must be submitted within five (5) calendar days | submitted within sixty (60) calendar days after the start of confinement. Sickness Notification Form must be submitted within five (5) calendar days after its receipt from the employee.
THIS CAN ALSO BE DOWNLOADED THRU THE SSS WEBSITE AT .sss.gov.ph. PLEASE READ THE ATTACHED INSTRUCTIONS BEFORE FILLING OUT THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND USE BLACK INK ONLY.

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