SSS Kasambahay Unified Registration Form

Other SSS Forms

Request/Verification Form

Unified Multi-Purpose ID (UMID) Card Application Form

SSS # Application Form

SOCIAL SECURITY SYSTEM – Kasambahay Unified Registration Form

INSTRUCTIONS

A. Register to any of the Agencies (Pag‐IBIG/PhilHealth/SSS).
B. Submission of Documentary Requirements* Not yet needed at the time of registration for the issuance of Pag‐IBIG/PhilHealth/SSS Numbers.* If not available at the time of registration, registrant will still be provided the corresponding numbers. However, availments of any benefits shall only be allowed upon submission of documents to prove his/her identity and payment of required premium contributions.

C. List of Acceptable Documents and Conditionalities:
For SSS Only

1. Primary DocumentsSubmit photocopy & present original/certified true copy of any of the ff:

• Birth Certificate
• Baptismal Certificate
• Drivers License
• Passport
• Professional Regulation Commission (PRC) Card
• Seaman’s Book

1. Secondary Documents
   In the absence of Primary Documents, submit photo copy and present original/certified true copy of TWO (2) of the following, BOTH should
   bear the name and at least ONE (1) should indicate the Date of Birth:

• ATM Card
• Bank Account Passbook
• Birth/Baptismal Certificate of Children
• Marriage Contract
• NBI Clearance
• Police Clearance
• Postal ID Card
• Voter’s ID/Affidavit
• School Records
• ID Card issued by Local Government Units (e.g. Barangay, Municipal/City)

If the required supporting document/s is/are not available at the time of registration, or if registration is done at Pag‐IBIG/PhilHealth, or if the
Registrant is unavailable to sign the document, SS Number shall still be issued, subject to the following conditions:

• Membership Status of Kasambahay is “Temporary”.
• The SS Number issued can only be used for contribution payment and
  employee reporting (by the Household Employer).
• Submission of Primary or Secondary document/s and/or signature in the
  Form is required for conversion of Membership Status to Permanent,
  thru Member’s Data Amendment Form (SSS Form E‐4)
• Availment of SSS Benefits and Loans is only allowed for Permanent
  Membership Status, subject to qualifying conditions.

D. Updating/Change in Personal Information, Dependents/Beneficiaries should be submitted to each agency (Pag‐IBIG/PhilHealth/SSS).

E. This form is not applicable for Family Driver. Registration of Family Driver should be done in each agency (Pag‐IBIG/PhilHealth/SSS).