Sss death claim form sample 2026

1. Click ‘Get Form’ to open the sss death claim form sample in our editor.
2. Begin by filling in the MEMBER'S INFORMATION section. Enter the member's name, SS number, type of claim, civil status, and date of birth. Ensure all information is printed in capital letters using black ink.
3. In the DATE OF DEATH field, input the date of death. If applicable, indicate whether the deceased was receiving an SSS pension and specify the type.
4. Complete the EMPLOYMENT HISTORY section by listing periods of employment along with employer details. Use a separate sheet if necessary.
5. Fill out CLAIMANT'S INFORMATION with your details including SS number (if any), name, address, gender, TIN, and relationship to the member.
6. Affix your recent 1x1 photo and provide your signature. If you cannot sign, ensure fingerprints are witnessed as per instructions.

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