SSS Sickness Notification Form – Download – Online Submit

SSS Sickness Notification Form. In the Philippines, the Social Security System (SSS) provides a range of benefits to its members, including financial assistance during periods of illness or injury. One crucial component of accessing these benefits is the SSS Sickness Notification Form. This comprehensive guide will delve into the purpose, application process, eligibility criteria, and essential details surrounding this form, ensuring that members are well-informed and prepared to utilize their entitlements effectively.

The SSS Sickness Notification Form serves as an official document that notifies the SSS of a member’s inability to work due to sickness or injury. By submitting this form, members initiate the process to claim sickness benefits, which provide financial support during periods when they are incapacitated and unable to earn their regular income.

To qualify for sickness benefits under the SSS, members must meet the following conditions:

• Incapacity to Work: The member must be unable to perform work duties due to sickness or injury, resulting in confinement either in a hospital or at home for at least four (4) days.
• Contribution Requirements: The member should have paid at least three months of contributions within the 12-month period immediately preceding the semester of sickness or injury.
• Exhaustion of Sick Leave: All company-provided sick leaves with pay must have been utilized prior to claiming SSS sickness benefits.
• Timely Notification: The employer or the SSS (for self-employed, voluntary, or separated members) must be notified about the sickness or injury within the prescribed period.

Filing for sickness benefits involves a systematic process to ensure accurate and prompt assistance. Below are the detailed steps:

1. Prompt Notification

• For Employed Members: Notify your employer within five (5) calendar days from the onset of illness or injury. The employer is then responsible for submitting the SSS Sickness Notification Form to the SSS within five (5) calendar days after receiving the notification from the employee.
• For Self-Employed, Voluntary, or Separated Members: Directly inform the SSS within five (5) calendar days after the start of confinement.

Failure to adhere to these notification periods may result in the denial of the sickness benefit claim.

2. Completion of the SSS Sickness Notification Form

Accurately fill out the form with the following information:

• Personal Details: Full name, SSS number, and contact information.
• Employment Information: Employer’s name, address, and SSS employer number (for employed members).
• Illness or Injury Details: Specifics about the sickness or injury, including the date of onset, diagnosis, and the duration of confinement.

3. Medical Certification

Obtain a medical certificate from the attending physician or hospital, detailing the diagnosis, treatment plan, and the recommended period of confinement. This certificate must be attached to the SSS Sickness Notification Form upon submission.

4. Submission of the Form

• For Employed Members: Submit the completed form and medical certificate to your employer, who will then forward these documents to the SSS.
• For Self-Employed, Voluntary, or Separated Members: Directly submit the form and accompanying medical documents to the nearest SSS branch.

To enhance convenience and efficiency, the SSS offers an online platform for submitting the SSS Sickness Notification Form. Members can follow these steps:

1. Access the SSS Website: Visit the official “SSS“ website and log in to your My.SSS account.
2. Navigate to the E-Services: Select the ‘Sickness Notification’ option under the E-Services tab.
3. Fill Out the Online Form: Enter the required information accurately, ensuring all details match the medical certificate.
4. Upload Supporting Documents: Attach scanned copies of the medical certificate and any other necessary documents.
5. Submit the Application: Review all entered information for accuracy before submitting the form.

Utilizing the online submission process can expedite the evaluation and approval of sickness benefit claims.

Read also: SSS Login – SSS Member Login

The amount of the sickness benefit is determined based on the member’s average daily salary credit (ADSC). The benefit is equivalent to 90% of the ADSC and is payable for each day of qualified confinement, subject to a maximum of 120 days in a calendar year.

Example Calculation:

Item	Details
Average Monthly Salary Credit (AMSC)	₱20,000
Average Daily Salary Credit (ADSC)	₱20,000 ÷ 30 = ₱666.67
Daily Sickness Benefit	90% of ₱666.67 = ₱600
Total Benefit for 10 Days	₱600 x 10 = ₱6,000

Note: The AMSC is the average of the highest monthly salary credits corresponding to the 6 highest monthly contributions within the 12-month period preceding the semester of sickness.

• Late Submission: Ensure the form is submitted within the prescribed period to avoid claim denial.
• Incomplete Information: Double-check that all sections of the form are accurately filled out.
• Missing Signatures: Both the member and employer (if applicable) must sign the form.
• Insufficient Documentation: Attach all necessary supporting documents to substantiate the claim.

• Timeliness: Adhere strictly to the notification and filing periods to avoid forfeiture of benefits.
• Accurate Information: Ensure all details provided in the form and supporting documents are correct and consistent.
• Record-Keeping: Maintain copies of all submitted documents and correspondence with the SSS for future reference.

The SSS Sickness Notification Form is a vital tool for members seeking financial assistance during periods of illness or injury. By understanding the eligibility requirements, adhering to the prescribed procedures, and ensuring accurate documentation, members can effectively navigate the process and secure the benefits to which they are entitled. Staying informed and proactive in managing SSS-related matters not only safeguards one’s financial well-being but also contributes to a more resilient and supportive social security system for all members.