Sss sickness notification form editable 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the employer's registered name and ID number in sections 1 and 2. Ensure accuracy as this information is crucial for processing.
3. In section 4, enter the employee's full name and their SSS number in section 5. This identifies the individual applying for benefits.
4. Complete the address fields (sections 6 and 3) with full details, including postal code, to ensure proper communication.
5. Document the dates of sickness and return to work in section 8. Be precise with these dates as they affect benefit calculations.
6. Fill out section 9 regarding confinement dates approved by the medical department, ensuring all fields are completed accurately.
7. In section 12, compute your total monthly salary credits and follow the instructions provided for calculating your daily sickness allowance.
8. Finally, complete the certification section at the end of the form, ensuring both employee and employer signatures are present before submission.

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