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PH SSS BPN-103 2000 free printable template

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Republic of the Philippines CLAIM NO. SOCIAL SECURITY SYSTEM RECEIVED BY DATE CLAIM FOR FUNERAL BENEFIT SSS FORM BPN 103 (REV 8/91) PD EC SSS MEMBER S & CLAIMANT S DATA (Please read instructions on
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How to fill out sss burial claim form

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How to fill out sss burial claim form:

01
Obtain the necessary documents such as the death certificate of the deceased member, birth certificates of dependent children, and marriage certificate, if applicable.
02
Fill out the personal information section of the form, providing details such as the full name, address, and SSS number of the deceased member.
03
Complete the beneficiary information section, including the full name, relationship, and SSS number (if applicable) of each beneficiary.
04
Provide the necessary details regarding the funeral expenses, such as the name and address of the funeral parlor, the total cost of the funeral, and any previous payments made.
05
Indicate the preferred mode of payment for the burial claim, whether it be through a check, bank deposit, or SSS Benefits Card.
06
Sign and date the form, ensuring that all the information provided is accurate and true to the best of your knowledge.

Who needs sss burial claim form:

01
The immediate family members or beneficiaries of a deceased SSS member who wish to claim the burial benefit.
02
This includes the spouse, children (legitimate, illegitimate, or legally adopted), and parents of the deceased member who were dependent on him or her for support.
03
Any other person who has paid for the funeral expenses of an SSS member and wishes to claim reimbursement from the SSS.

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1. Fill out the information requested at the top of the form: • Full Name of Deceased • Social Security Number of Deceased • Date of Death • Claimant's Name • Claimant's Relationship to the Deceased • Claimant's Social Security Number 2. On the first page, check the box that best describes the type of death. 3. Provide the date and place of death. 4. Provide the name, address and telephone number of the funeral home that handled the arrangements. 5. Provide the name, address and telephone number of the cemetery where the decedent was buried. 6. Provide the name and address of the person or organization that paid for the burial expenses. 7. Provide the amount of burial expenses paid. 8. Sign and date the form. 9. If you are completing the form on behalf of someone else, provide the information requested on the third page and sign and date the form. 10. Send the completed form, along with the required documentation, to the address listed on the form.
The purpose of a SSS Burial Claim Form is to apply for a lump sum death benefit from the Social Security System (SSS). The claim form is used to provide the necessary information required for the SSS to determine whether the deceased was an SSS member, and if so, the amount of the benefit due.
The information required on an SSS Burial Claim Form includes the name of the deceased, their Social Security number, the date of death, the place of death, the name and address of the funeral home, the name and address of the person responsible for the burial costs, the amount of the burial costs, and the name and address of the person filing the claim.
The Social Security Administration (SSA) does not impose a penalty for late filing of a burial claim form. However, if a claim is filed more than one year after the date of death, the application may be denied. It is important to file as soon as possible after the death of a loved one.
SSS burial claim form refers to the form that needs to be filled out by the beneficiary of a deceased member of the Social Security System (SSS) in order to claim burial benefits. The form is called the SSS Form BPN-103 and it is used to provide necessary information, such as the personal details of the deceased member and the beneficiary, as well as information regarding the funeral expenses and supporting documents required for the claim. This form is submitted to the SSS along with other required documents to avail the burial benefits provided by the SSS.
The person required to file the SSS burial claim form is the beneficiary or the legal representative of the deceased member.
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