PhilHealth Household Employer Unified Registration Form (PPS-HEUR1)

Fill PhilHealth Household Employer Unified Registration Form (PPS-HEUR1) 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: Pag-IBIG HOUSEHOLD EMPLOYER NUMBER/, PHILHEALTH EMPLOYER NUMBER (PEN), SSS HOUSEHOLD EMPLOYER ID NUMBER, LAST NAME, FIRST NAME, NAME EXTENSION, MIDDLE NAME, CHECK IF NO MIDDLE NAME, DATE OF BIRTH, TAX IDENTIFICATION NUMBER, BUILDING NAME, LOT/BLK./HOUSE NO.

The form is the agency's own, from philhealth.gov.ph (checked 2026-10-14): the PDF you download is that form with your values printed in its boxes.

Part of these form packs: Register your kasambahay (household helper) (One form registers you as an employer with SSS, PhilHealth and Pag-IBIG at once (the agencies call it HEUR1). Leave the three employer-number boxes blank — the agencies give you those numbers); Household employer with a kasambahay (A new address or phone number is filed on the employer registration form (HEUR1) again).

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 PhilHealth Household Employer Unified Registration Form (PPS-HEUR1) now

• Guide: Registering a kasambahay with SSS, PhilHealth and Pag-IBIG
• Form pack: Register your kasambahay (household helper)
• Form pack: Household employer with a kasambahay
• The blank form from philhealth.gov.ph