SSS Sickness Notification Form 2026: How to Notify and File Online
Having the necessary knowledge to navigate the requirements and procedures of the Social Security System (SSS) can be a crucial part of ensuring that employees receive the benefits they are entitled to. For those who find themselves in need of time away from work due to an illness or injury, one such requirement is the SSS Sickness Notification Form.
Since Sickness Notification Form is an important document that employees must submit to their respective employers and the SSS in order to declare that they are taking leave due to an illness or injury.
The form helps ensure that employees receive their sickness benefits, which can provide financial assistance during their period of absence from work. But what do you need to know about this form? Is it mandatory for employees to submit it? What happens if it’s not submitted?
This article will cover everything you need to know about the SSS Sickness Notification Form so that you can be well-informed and prepared, in case you find yourself in a situation where the form is required.
What is the SSS Sickness Notification Form?
The SSS sickness notification form notifies the SSS that you are unable to work due to sickness or injury. This allows you to sickness claim benefits from the SSS.
It includes a daily allowance equivalent to 90% of your average daily salary credit, which can be paid for a maximum of 120 days in a calendar year.
If you are employed and confined at home, you must notify your employer within five (5) calendar days after the start of your confinement. The employer then notifies the SSS within five (5) calendar days after receiving your notice. Self-employed, voluntary, OFW and separated members notify the SSS directly.
Who is qualified for the sickness benefit?
According to the SSS, a member can get the sickness benefit if he or she:
- cannot work because of sickness or injury and is confined either in a hospital or at home for at least four (4) days;
- has paid at least three (3) monthly contributions within the 12-month period immediately before the semester of sickness or injury;
- has used up all current company sick leave with pay for the current year, if employed (except sea-based OFWs); and
- has notified the employer (if employed) or the SSS (if self-employed, voluntary, OFW or separated from employment) as required.
What are the benefits of using this form?
The SSS sickness notification form is a quick and easy way to notify the SSS of your incapacity to perform work due to your health.
By using this form, you can receive financial assistance from the SSS while you are unable to work and support yourself and your family.
Where can I get a copy of the form?
You no longer need a printed form. Sickness notifications and claims are now filed online through the My.SSS portal: employees go through their employer, while self-employed, voluntary, OFW and separated members file in their own My.SSS account. According to the SSS, submission of documents over the counter is no longer necessary. You can read the official rules on the SSS Sickness Benefit page. If you still need help at a branch, visit your nearest SSS branch.
Make sure to complete the form accurately and legibly to avoid processing delays.
How Do I Fill Out and Submit the Form?
If you’re a member who is unable to work and confined at home or in a hospital for at least four (4) days, you need to notify your employer or the SSS of your sickness.
This will inform your employer and the Social Security System (SSS) that you’re unable to work due to an illness.
- Employees confined at home: notify your employer within five (5) calendar days after confinement starts. Your employer then notifies the SSS online through its My.SSS employer account within five (5) calendar days after receiving your notice.
- Employees confined in a hospital: you do not need to notify your employer. The employer has up to one (1) year from the date of hospital discharge to notify the SSS.
- Self-employed, voluntary, OFW, non-working spouse and separated members: log in to My.SSS, go to Benefits, choose Sickness Benefit, fill out the application, upload the required documents, certify, and save the transaction number. The result is sent by email.
Late notification can cause the claim to be reduced or denied. If the notice is late, the SSS treats the confinement as starting no earlier than the fifth (5th) day before the date of notification.
For step-by-step help with the online fields, see our guide on how to fill out the SSS sickness benefit form.
What information do I need to provide?
When filling out the form, you will need to provide your personal information, such as your name, SSS number, and contact information.
You will also need to provide details about your injury or sickness, how long you expect to be not able to work, and the start date of your sick condition.
Make sure to provide accurate and complete information to avoid processing delays.
Do I have to sign the form?
No paper signature is needed when filing online. In My.SSS you certify that the information you have provided is true and correct before you submit the application.
What Benefits Does the SSS Sickness Form Cover?
The SSS Sickness Notification Form is a document that provides benefits for employees who are unable to work due to illness or injury. This document allows employees to claim their sickness benefits from the Social Security System.
The SSS sickness benefit is a daily cash allowance only. It replaces part of your lost income for the days you cannot work. It does not pay hospital bills, medicines or your dependents’ medical costs; hospitalization costs are covered separately by PhilHealth.
The daily allowance equals 90% of your average daily salary credit (ADSC). The ADSC is computed this way:
- Leave out the semester of sickness (the two quarters ending with the quarter when the sickness started).
- Count the 12 months right before that semester.
- Add the six (6) highest monthly salary credits (MSC) in that period.
- Divide the total by 180 to get the ADSC.
- Multiply the ADSC by 90% to get the daily allowance, then multiply it by the number of approved days.
For benefits, the SSS uses your MSC only up to ₱20,000, even if your MSC for contributions is higher. Example: if your six highest MSCs are all ₱20,000 or more, the total counted is ₱120,000. ₱120,000 ÷ 180 = ₱666.67 ADSC; 90% of that is about ₱600 a day. For 10 approved days of sickness, the benefit is about ₱6,000. You can try your own figures in our SSS sickness benefit calculator.
What is the maximum coverage period?
The maximum coverage period for sickness benefits is 120 days per calendar year. However, the number of days for which you can claim benefit will depend on your illness or injury and the severity of your condition, as determined by your physician.
Unused days do not carry over to the next year. The benefit also cannot be paid for more than 240 days for the same illness; a longer illness is assessed as a disability claim.
What kinds of sickness or injuries are covered?
It covers any sickness or injury that prevents you from working and keeps you confined at home or in a hospital for at least four (4) days. This includes work-related injuries or illnesses, as well as those that are not work-related.
Must Read: List of Sickness Covered by SSS and How to Claim It?
Are there any exclusions?
The following are exclusions for the SSS sickness benefit:
- Sickness or injury falls by your intentional or criminal act
- caused by your abuse or dependence on drugs or alcohol
- or caused by your participation in a criminal activity
Can I File for Sickness Benefit Reimbursement?
If you are employed, your employer pays your sickness benefit in advance. The employer then files a Sickness Benefit Reimbursement Application (SBRA) online, and the SSS reimburses the employer 100% of the daily benefits paid, as long as the notification and filing rules were followed.
If you are self-employed, voluntary, an OFW, a non-working spouse or separated from employment (unemployed), the SSS pays the benefit to you directly after you file your Sickness Benefit Application in My.SSS.
What is the process for filing a reimbursement application?
The employer logs in to its My.SSS account, goes to Benefits and submits the SBRA by entering your SS number or the claim reference, certifying the details and keeping the transaction number.
After that, the SSS sends you an email. You must confirm that you received the advance payment from your employer within seven (7) working days. If you say you did not receive it, or you do not answer in time, the SBRA is rejected and the employer may file it again as a new transaction.
What documents do I need to submit together with the form?
When applying for reimbursement, you will need to submit the following documents:
- Sickness notification, filed online through My.SSS (by the employer for employees, or by the member)
- Sickness Benefit Reimbursement Application (SBRA) form. Starting December 27, 2021, all new claims and adjustments must be submitted online via the Member.SSS portal.
- SSS Medical Certificate (Med 01688) showing the diagnosis, the recommended number of sick leave days, the clinic address and contact number, and the doctor’s license number written legibly
- For a long illness, supporting records such as laboratory, X-ray, ECG, operating room or clinical records
- For self-employed or voluntary members who were previously employed, a separation certificate or notarized affidavit, depending on the case
- Other documents required by the SSS
How long does it take to process my claim?
The SSS does not publish a fixed evaluation period for sickness claims. Once a claim is settled, the SSS credits the payment within five (5) banking days. The money goes to your UMID card enrolled as an ATM card, or, if you have none, to the bank account (via PESONet), e-wallet or remittance outlet you enrolled in My.SSS. You are notified by email or SMS.
The processing time for your SSS sickness benefit claim depends on several factors, such as:
- the completeness of the supporting documents you have submitted,
- the accuracy of the information you have provided, and
- the volume of claims being processed by the SSS.
Some Important Reminders When Using SSS Sickness Form 2026
When using the SSS sickness notification form, it is important to keep in mind a few key reminders.
First, if you are confined at home, the notification must be made within five (5) calendar days from the start of the confinement. Late notification may result in a reduced or denied claim.
It is also important to ensure that all information entered on the form is accurate and complete, including the dates and details of the sickness.
Additionally, supporting documents must be uploaded, such as the SSS medical certificate. It is also essential to keep a copy of the transaction number and all supporting documents for future reference.
Lastly, it is crucial to follow up with the SSS to ensure that the sickness notification has been processed and that the employee is receiving the appropriate benefits.
What if I am confined in the hospital?
If you are employed and confined in a hospital, you do not need to notify your employer, but it helps to inform them so they can file on time. Your employer must notify the SSS within one (1) year from the date of your hospital discharge. Self-employed, voluntary and OFW members file the claim themselves in My.SSS.
This will help the SSS determine the appropriate benefit payments you are eligible for.
What if I am unable to work due to my sickness or injury?
If you are unable to work due to your sickness or injury, make sure to notify your employer immediately. This will help your employer determine the appropriate sick leave and benefit payments you are entitled to receive.
Remember, the SSS Sickness Notification Form is an important document that can help you secure financial assistance during a period of illness or incapacity.
Make sure that you fill out the form completely and accurately, and submit it as soon as possible to enjoy the benefits that you are entitled to.
20days of bedrest because of bleeding of pregnancy
Hi, Juliemar! I’m so sorry you’re going through this. Whether bed rest for pregnancy bleeding is paid as a sickness benefit depends on the SSS evaluation, so approval isn’t guaranteed. In general, a sickness claim needs at least 4 days of confinement (at home or in a hospital), at least 3 monthly contributions in the 12 months before the semester of sickness, and used-up company sick leave if you’re employed. If you’re employed, notify your employer within 5 calendar days after home confinement starts; your employer files with SSS online. If you’re self-employed, voluntary or an OFW, file in your My.SSS account with the SSS medical certificate. Details: SSS Sickness Benefit. Take care and rest well. 💜
Waiting for approval
Good day! I really don’t know the reason why it takes too long to approve my SSS Reimbursement.
I filed last Oct. 25, then they notified SSS last Oct. 29. Up until now it’s still in the Evaluation process. I was hospitalized for Acute Appendicitis.
Hi, Cherold!
SSS doesn’t publish a fixed evaluation period for sickness claims, so it can take some time, especially if documents need checking. Watch your email: SSS may ask you to confirm that your employer advanced the benefit, and you must do this within 7 working days, or the reimbursement is rejected. Once the claim is settled, payment is credited within 5 banking days. More info: SSS Sickness Benefit.