SSS Death Claim Application
Fill SSS Death Claim Application 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 OF MEMBER (Surname), (Given Name), (Middle Name), DATE OF BIRTH (mm-dd-yyyy), DATE OF DEATH (mm-dd-yyyy), PLACE OF DEATH (Town/District) (City/Province), TYPE OF CLAIM, CIVIL STATUS, EMPLOYMENT HISTORY (Use separate sheet, if necessary), DEPENDENT CHILDREN (Below 21 years old or above 21 but incapacitated), NAME OF CLAIMANT (Surname), ADDRESS (Number, Street and Subdivision).
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 (For the primary beneficiaries (dependent spouse and children); if there are none, the dependent parents. A monthly pension if the member paid 36 or more contributions before the semester of death, else a lump sum).
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.