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PH SSS Death Claim Application Form 2012-2025 free printable template

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Republic of the Philippines SOCIAL SECURITY SYSTEM DEATH CLAIM APPLICATION (04-2012) PART I Please read the instructions at the back of the form before filling-up the application. Print information
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How to fill out sss death claim form

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How to fill out PH SSS Death Claim Application Form

01
Obtain the PH SSS Death Claim Application Form from the nearest SSS office or download it from the SSS website.
02
Fill out the personal information section with the deceased's details, including full name, date of birth, and SSS number.
03
Provide the claimant's information, including name, relationship to the deceased, and contact details.
04
Attach the required documents, such as the death certificate, proof of relationship (like a birth or marriage certificate), and any other requested identification.
05
Review all information for accuracy and completeness before submission.
06
Submit the completed form and documents to the nearest SSS office or through designated submission channels.

Who needs PH SSS Death Claim Application Form?

01
The family members or legal heirs of an SSS member who has passed away need the PH SSS Death Claim Application Form to claim benefits.
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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 Statistics Office/ Local Civil Registrar Office/Parish/Church.
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 Statistics Office/ Local Civil Registrar Office/Parish/Church.
Claimant must have an SS Number and registered in the SSS Website to be able to apply for death benefit claim through the My. SSS portal. 2. Claimant must have a UMID card enrolled as ATM or an approved disbursement account in the Disbursement Account Enrollment Module (DAEM) in the My.
Death - The amount of benefit granted is equivalent to monthly pension plus 15% difference. — - The dependent minor children is entitled to dependent's pension equivalent to 10% of the monthly pension.
CREDITING OF BENEFIT CLAIMS SPF Retirement, Total Disability and Death benefits shall be credited to the bank account of the SPF MEMBER/beneficiary within three (3) working days from approval of said benefit claim.
Death Certificate of member issued by LCR or PSA. Marriage Contract of member issued by LCR or PSA. Birth Certificate issued by LCR or PSA or valid passport or two (2) valid government issued IDs with date of birth and signature, if parents are not GSIS member/ pensioner.

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The PH SSS Death Claim Application Form is a document required by the Social Security System (SSS) in the Philippines for beneficiaries or claimants to apply for death benefits following the death of a member.
Beneficiaries of the deceased SSS member, such as the legal heirs or dependents, are required to file the PH SSS Death Claim Application Form.
To fill out the PH SSS Death Claim Application Form, you need to provide personal information of both the deceased member and the claimant, including details such as names, identification numbers, and the relationship between them.
The purpose of the PH SSS Death Claim Application Form is to formally initiate the claim process for death benefits provided by SSS to the eligible beneficiaries of a deceased member.
The information that must be reported on the PH SSS Death Claim Application Form includes the deceased member's SSS number, full name, date of birth, date of death, and details about the claimants, such as their names and relationship to the deceased.
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