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PH SSS B-304 2000-2024 free printable template

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Answer properly items 1 to 13 of the Sickness Benefit Reimbursement Application SSS Form B304 including the Acknowledgment Receipt. 2. Submit only one copy. 3. Approved sickness notification SSS Form CLD-9N should always be attached to the Sickness Benefit Reimbursement Application. 4. Republic of the Philippines SOCIAL SECURITY SYSTEM SICKNESS BENEFIT REIMBURSEMENT APPLICATION Please read instructions on page 2 before accomplishing this form and fill up all items except those for SSS use....

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How to fill out sss sickness notification form

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01
Fill in your personal information such as your name, address, and contact details accurately.
02
Provide your social security number and identification details to verify your identity.
03
Indicate the date of the sickness or injury and provide a brief description of the condition.
04
Attach relevant medical certificates or documents supporting your claim, such as medical records or doctor's notes.
05
Specify the duration of medical leave or sick days required for recovery.
06
Sign and date the form to confirm the accuracy and truthfulness of the information provided.
07
Keep a copy of the completed form for your records.

Who needs sss sick form?

01
Employees who need to take sick leave from work and require documentation for their employer.
02
Individuals who rely on the social security system to provide financial assistance or benefits during periods of illness or injury.
03
Anyone applying for social security benefits related to sickness or disability.

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SSS Sick Form is an online form used by members of the Social Security System (SSS) in the Philippines to apply for sickness benefits. The form is used to apply for cash benefits if the applicant is unable to work due to a sickness or injury. The form can be found on the SSS website.
Generally, employers are required to file the SSS Sickness Benefit form for employees who are absent from work due to illness or injury.
1. Fill out the employee information section at the top of the form. This includes your name, address, and Social Security Number. 2. Fill out the employer information section. This includes your employer’s name, address, and contact information. 3. Select the type of illness or injury that you are filing for. 4. Provide details about your illness or injury, including the date it began and the diagnosis. 5. Provide information about any treatments or medications you have received. 6. Provide the name and contact information of any doctors or hospitals that have treated you. 7. Sign and date the form. 8. Submit the form to your employer. They will forward it to the Social Security Administration (SSA) for processing.
The purpose of an SSS Sick Form is to provide employers with information on employee absences due to illness or injury, in order to help them keep track of their workforce and manage their payroll. It also allows employees to report their absences and provide details on the type of illness or injury.
1. Name, address, and Social Security number of the employee. 2. Date of illness or injury. 3. Name and address of the attending doctor. 4. Description of illness or injury. 5. Length of illness or injury. 6. Estimate of when the employee can return to work. 7. Any applicable medical restrictions or limitations. 8. Signature of the employee and date signed. 9. Signature of the attending doctor and date signed.
The deadline to file SSS Sick Form in 2023 is not yet known. It is best to contact the Social Security System for the latest information.
The penalty for the late filing of SSS sick form is a 25% surcharge on the total SSS contribution due, as well as a 2% monthly interest on the unpaid balance.
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