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.
The form must be submitted to the SSS within five days of the start of your sick leave or confinement in the hospital.
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?
The SSS sickness notification form is available on the SSS website or at your nearest SSS branch. Alternatively, you can download a fillable and printable PDF copy of the form online from the link below.
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 an employee in the Republic of the Philippines and happen to fall ill for more than five days, you need to fill out an SSS sickness notification form.
This will inform your employer and the Social Security System (SSS) that you’re unable to work due to an illness.
To complete the form, you’ll need to provide information about your sickness, including the date of diagnosis, the name and address of your doctor, and the severity of your condition.
You’ll also need to provide information about your employer, including their contact details.
Once you’ve filled out the form, you must submit it to your employer, who will then forward it along with their certification to the nearest SSS office.
You can also visit any SSS office to submit the form in person. It’s essential to complete and submit this form within five calendar days of your illness to ensure that you’re entitled to sick benefits from the SSS.
SSS Sickness Notification Form Sample
The SSS form for sickness notification is fillable online. Once you have completed the form, you can print and sign it before submitting it to the SSS.
If you choose this option, make sure to keep a digital copy for your records.
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?
Yes. You must fill out and sign the SSS sickness notification form to certify that the information you have provided is true and accurate. Make sure to sign the form in black ink and in the signature field provided.
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.
However, the form covers a variety of benefits such as cash benefits, medical assistance, and additional benefits for an employee’s dependents.
- Cash benefits are provided to the employee in order to cover their daily subsistence needs during the time they cannot work due to illness or injury.
- The medical assistance covers the medical expenses incurred during treatment.
- The extra benefits cover the expenses of an employee’s dependents if they too fall ill or need medical attention.
Overall, the SSS Form Sickness is a reliable and helpful system for employees to maintain their financial stability and receive necessary support during their time of need.
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.
What kinds of sickness or injuries are covered?
It covers any sickness or injury that prevents you from performing your work for more than seven (7) calendar days. This includes work-related injuries or illnesses, as well as those that are not work-related.
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?
Yes, you can file for sickness benefit reimbursement. Sickness benefit is provided to individuals who are unable to work due to a medical condition or illness.
In order to receive reimbursement, you must first meet certain requirements set by your employer or by the government program that provides the benefit.
Further, these requirements may include providing medical documentation that confirms your illness or condition, meeting a certain waiting period before claiming benefits, and ensuring that your employer has properly registered you for the program.
Once you have met all the necessary requirements, you can file a claim for reimbursement.
The amount of benefits you will receive will depend on a number of factors including the length of your illness, the severity of your condition, and the program’s reimbursement rate.
Thus, it is important to check with your employer or the program provider to ensure that you meet all the necessary requirements and to understand what documentation is necessary to file a claim for reimbursement.
What is the process for filing a reimbursement application?
If your employer granted sickness benefits, your employer will file the reimbursement application with the SSS on your behalf.
However, if your employer did not grant you, then you may file the reimbursement application yourself.
SBA form must be submitted form proving that your employer failed to grant you a security system sickness benefit and that you were absent from work due to your sickness or injury.
What documents do I need to submit together with the form?
When applying for reimbursement, you will need to submit the following documents:
- SSS sickness notification form
- Sickness Benefit Reimbursement Application (SBA) form
- Certificate of Employment and Compensation (CEC) issued within the last six (6) months before the semester of contingency
- Medical certificate issued by an SSS-accredited physician or by a government physician
- Official receipts/proof of payment of the hospital bills and medicines
- Other documents required by the SSS
How long does it take to process my claim?
Generally, it takes about 10-15 working days to process reimbursement claims.
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 2023
When using the SSS sickness notification form, it is important to keep in mind a few key reminders.
First, the form must be accomplished and submitted within five (5) calendar days from the start of the employee’s illness, injury, or disability. Failure to comply with the deadline may result in denial or delay of benefits.
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. The form must be signed by both the employee and the employer or authorized representative.
Additionally, supporting documents must be attached, such as medical certificates or receipts for medical expenses. It is also essential to keep a copy of the submitted form 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 confined in the hospital, make sure to notify the SSS immediately by providing them with a copy of your admission notice or discharge summary, together with your SSS sickness form.
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 submit your SS form to 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.