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DEATH CLAIM APPLICATION. (04-2012) PART I. Please read the instructions at the back of the form before filling-up the application. Print information in capital letters and use black ink only. SS NUMBER.
Retirement Benefit. Retirement Claim Application. Member’s Claimant’s Photo & Signature Card Form. Affidavit of Separation from Employment/Cessation of Self-Employment with Undertaking. Application for representative payee (CLD 1.5) – In case guardian is other than parent/member. Guarantor’s Bond Form (BPN 107) – In case guardian is ...
Funeral Benefit is a cash benefit granted to help defray the cost of funeral expenses upon the death of a member, including permanently totally disabled member or retiree. Starting 20 October 2023, the amount of funeral benefit shall be as follows: Variable amount from a minimum of P20,000 to a maximum of P60,000 if the member/pensioner paid at ...
Death and Funeral Benefit. Death Claim: Beneficiaries of a deceased member must use this form to apply for SSS death benefits. Funeral Claim: This form allows beneficiaries to claim funeral benefits for the costs associated with the member’s passing. Other SSS Programs
Required Documents for Filing a Death Claim. To successfully file a death claim, it is important to gather all necessary documents based on your relationship with the deceased member: SSS Application Forms; Death Claim Application (SSS DDR-1) Sinumpaang Salaysay (Sworn Statement) Affidavit of Claimant (SSS Form CLD 1.3 A or 1.3)
SHALL BE LIABLE CRIMINALLY FOR FALSIFICATION OF PUBLIC DOCUMENTS. CHECKLIST OF DOCUMENTS REQUIRED FOR FUNERAL BENEFIT 1. Death Certificate duly registered with the Local Civil Registrar. 2. Official Receipt from the Funeral Parlor or contract signed by the parties. 3. Filer’s Affidavit to be accomplished by the person actually filing the ...
1. Accomplish Parts I and II of this form in one (1) copy without erasures or alterations. 2. Support date of birth, marriage or death with birth/baptismal certificate, marriage contract or death certificate (original duplicate/certified true copy/certified photocopy) duly registered with the National
