SSS Application for Death/Disability/Retirement Benefit

Fill SSS Application for Death/Disability/Retirement Benefit 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: LastName, First Name, Middle Name, CLAIMANT'S ADDRESS, GSIS MEMBERSHIP NUMBER, CIVIL STATUS, BANK NAME, BRANCH AND ADDRESS, SAVINGS ACCT. NO, THUMBMARK, WITNESSES TO THUMBMARK, PRINTED NAME AND SIGNATURE OF MEMBER/CLAIMANT, CLAIM TYPE.

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.

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 Application for Death/Disability/Retirement Benefit now

• The blank form from sss.gov.ph