SSS Sinumpaang Salaysay Pinagbayaran Sa Pagpapalibing RET01225
Fill SSS Sinumpaang Salaysay Pinagbayaran Sa Pagpapalibing RET01225 online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Lunsod /Bayan ng, Lalawigan ng, Ako, si, naninirahan sa, Personal kong alam ang pagkamatay ni, namatay sa, hoong, dahil siya ay aking, Number/Common Reference Number, kanyang huling amo/pinagtrabahuan, materyales para sa kabaong/cremation, burol/sasakyan sa pagpapalibing.
The form is the agency's own, from sss.gov.ph (checked 2026-10-14): the PDF you download is that form with your values printed in its boxes.
Part of the form pack: A family member died: SSS, GSIS and Pag-IBIG claims, estate tax (When the receipt is not in the claimant's name or there is no receipt).
The free clean PDF is that pack’s shortest form. A later form in the same pack needs the Starter plan (₱499) or above. Preview, check, and verify stay free. Not affiliated with BIR, SSS, PhilHealth, Pag-IBIG or any government agency.
Fill SSS Sinumpaang Salaysay Pinagbayaran Sa Pagpapalibing RET01225 now