SSS Affidavit of Undertaking
Fill SSS Affidavit of Undertaking 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: (Name), (Citizenship), (Address), (Name of Employer), The company is on strike;, The company has been dissolved or has ceased operation;, I have a pending case before a court regarding my separation from employment;, I was separated from the company due to Absence Without Official Leave (AWOL);, With strained relations with my employer;, My current address is more than 30 kilometers from the employer’s address;, My record from the former employer is no longer available, AFFIANT.
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: SSS maternity notification and benefit papers (The download page lists an affidavit of undertaking for non-receipt of an advance payment. This blank is SIC-01843, Affidavit of Undertaking (Non-Receipt of Advance Payment for Sickness/Maternity Benefit)).
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.