SSS Maternity Benefit

FORMS AND REQUIREMENTS

Forms to be filled out BEFORE birth:

• Maternity Notification Form (should be forwarded upon knowing of the pregnancy) - https://www.sss.gov.ph/sss/DownloadContent?fileName=SIC_01241.pdf

• Allocation of Maternity Leave Credits Form - https://www.sss.gov.ph/sss/DownloadContent?fileName=smd-01409.pdf

• OB History Form - https://ssc.edu.ph/wp-content/uploads/2016/04/SSSForms_Obstetrical-History-Form.pdf

Attachments:

• Ultrasound film and report (original copies);

• Photocopy of 2 valid IDs with 3 specimen signature;

• Medical certificate/s from check up

Note: Please email your Mat 1 +Attachments to ES distro first (247phes.optus@247.ai) for checking. Once ES has validated that forms and attachments are complete, please forward the hard copies to [24]7 Megamall site addressed to Amy Glenn Perez/ Employee Services

Forms to be filled out AFTER birth

• Maternity Reimbursement Form - https://www.sss.gov.ph/sss/DownloadContent?fileName=SIC_01242.pdf

• OB History Form - https://ssc.edu.ph/wp-content/uploads/2016/04/SSSForms_Obstetrical-History-Form.pdf

Attachments:

• Duly registered Certified True Copy of new born's Birth Certificate

• Photocopy of 2 valid IDs with 3 specimen signature

Additional Attachments (depending on the type of birth)

Normal Delivery:

• Medical Certificate if there's any

Cesarean Delivery

• Operating Room Record, Certified True Copy

• Discharge Summary, Certified True Copy

Complete Miscarriage

• Medical Certificate issued by attending physician on the circumstances of the pregnancy

Incomplete Miscarriage

• Certified True Copy of Hospital/ Medical Records

• Dilation and Curettage Report,

• Histopathological Report

Ectopic Pregnancy

• Certified True Copy of Hospital/ Medical Records

• Histopathological Report

Note: Please email your Mat 2 +Attachments to ES distro first (247phes.optus@247.ai) for checking. Once ES has validated that forms and attachments are complete, please forward the hard copies to [24]7 megamall site addressed to Amy Glenn Perez/ Employee Services