SSS Pagpapaubaya Funeral Benefit RET01227
Fill SSS Pagpapaubaya Funeral Benefit RET01227 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: Ako, si, mayroong/walang asawa, nakatira sa, pagpapalibing sa namatay na SSS member na si, Mga Binayaran, ay tinatalikdan, tinatalikuran, at pinapaubaya kay, na kilala ko bilang, Lagda sa ibabaw ng Pangalan ng Nagpaubaya, Lagda sa ibabaw ng Pangalan ng Testigo, Sa harap ko bilang Notaryo Publiko ng, Sa harap ko bilang Notaryo Publiko, ay personal na humarap si, na may ID No.
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 person who paid gives way to another claimant).
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.