SSS Forms: E-1, E-4, R-1, R-1A and the Full List
Social Security System · forms
Quick answer
The SSS E-1 is the Personal Data Record, the E-4 is the Member's Data Change Request, the R-1 is the Employer Registration Form and the R-1A is the Employment Report. All are downloadable free from sss.gov.ph, and several transactions now run online instead.
Last verified
Where these figures come from
About these figures: the numbers below come from SSS's official published sources: Social Security System | Download forms and electronic applications (https://www.sss.gov.ph/download-forms-and-electronic-applications/, retrieved 2026-08-31); Social Security System | Citizen's Charter 2026 (1st Edition) (https://www.sss.gov.ph/wp-content/uploads/2026/07/2026-SSS-Citizens-Charter-1st-Edition-External-Services.pdf, retrieved 2026-08-31). Agencies change fees and rates without notice, so confirm with SSS before you rely on them. Last verified: 2026-08-31.
SSS publishes its whole form library free at sss.gov.ph. The four people search for most are the E-1, the E-4, the R-1 and the R-1A, and they split neatly between the member side and the employer side.
The four that matter most
| Form | Name SSS publishes | Who uses it | What it does |
|---|---|---|---|
| E-1 | Personal Data Record | Member | The base personal record behind your SS number |
| E-4 | Member’s Data Change Request | Member | Changes details already on your SSS record |
| R-1 | Employer Registration Form | Employer | Applies for an Employer ID Number |
| R-1A | Employment Report | Employer | Reports employees to SSS |
The E-1 is not just a sign-up sheet. When you apply for an SS number online and upload supporting documents, a Member Service Representative retrieves your Personal Record, form E-1, and compares your uploaded documents against it before tagging the number Permanent or Temporary. That comparison is the whole approval step, and it is why the My.SSS registration guide stresses matching details exactly.
The R-1A has a transaction number of its own: SSS lists Online Submission of Employment Report (R1A) in My.SSS as a separate service, so employers with an account do not need a branch visit for it. SSS employer registration covers the R-1 side.
Registration and membership forms
| Side | Form |
|---|---|
| Member | Personal Data Record (E-1) |
| Member | Member’s Data Change Request (E-4) |
| Member | Kasambahay Unified Registration Form |
| Member | Request/Verification Form |
| Member | Data Privacy Consent Form, for updating contact information of members including prior registrants based abroad |
| Employer | Employer Registration Form (R-1) |
| Employer | Employment Report (R-1A) |
| Employer | Employer Data Change Request |
| Employer | Household Employer Unified Registration Form |
| Employer | Household Employment Unified Report Form |
Contribution and loan forms
| Category | Forms SSS publishes |
|---|---|
| Contributions | Contribution Collection List, Contributions Payment Return, Miscellaneous Payment Return |
| Member loans | Real Estate Loan Payment Return, Application for Housing Loan, Educational Assistance Loan Program, Application for Option to Sell Shares of Stock (SILP/PFLP), Special Power of Attorney for the same, Request for Processing of Short-Term Member Loans Overpayment |
There is also an Electronic R-3 File Generator, published as R3FileGenerator_2023.zip, alongside a household and employee library file, for employers preparing collection lists in bulk.
Benefit claim forms
| Benefit | Forms |
|---|---|
| Sickness | Sickness Notification Form, Sickness Reimbursement Form, Sickness Benefit Application Form for unemployed, self-employed or voluntary members, Medical Certificate, 2 EC Medical Reimbursement Application forms, ECMED Evaluation Sheet, employer and member transmittal lists, Affidavit of Undertaking |
| Maternity | Maternity Benefit Application or Reimbursement Application for special cases, Maternity Notification, Affidavit of Undertaking for non-receipt of advance payment, Affidavit of Undertaking for an unclaimed benefit of a deceased member |
| Retirement | Retirement Claim Application, Member’s or Claimant’s Photo and Signature Card, Affidavit of Separation from Employment or Cessation of Self-Employment with Undertaking, Application for Representative Payee (CLD 1.5), Guarantor’s Bond Form (BPN 107), Claim for Dependent’s Pension (BPN 106) |
| Disability | Disability Claim, Employment Data Form, Medical Certificate |
| Death | Death Claim Application, Photo and Signature Card, Joint Affidavit of Two Disinterested Persons (CLD 1.3), Report of Death (BPN 105), Guarantor’s Bond Form (BPN 107) |
| Funeral | Funeral Claim, Affidavit of Funeral Expenses, Waiver, Joint Affidavit of Two Disinterested Persons |
| EC benefits | EC Medical Reimbursement Benefit Application, EC Accident or Sickness Report |
| Portability | DDR Application Form under the Portability Law, Certification |
The sickness Medical Certificate is the one with published content rules. The charter identifies it as Med 01688 and requires the complete diagnosis, the recommended number of days of sick leave including recuperation, the clinic address, a contact number, and the licence number written legibly, with certified true copies of supporting medical documents. The SSS sickness benefit guide covers the 5 calendar day notification deadline those documents feed.
Pensioner, fund and member-concern forms
| Category | Forms |
|---|---|
| Annual Confirmation of Pensioners | ACOP forms for retirement or permanent total disability pensioners, for surviving legal spouse pensioners, and for representative payees of a dependent minor or incapacitated child, plus the Pensioner’s Data Change Request Form |
| Flexi Fund | Early Withdrawal Claim Form |
| P.E.S.O. Fund | Amendment Form, Withdrawal Form, Retirement Benefit Claim Form, Total Disability Benefit Claim Form, Death Benefit Claim Form |
| Member concern | Sinumpaang Salaysay in Tagalog for a member (MCA-01619) and for an authorised representative (MCA-01620), the English versions (MCA-01617 and MCA-01618), Customer Information Form (MCA-01616), Personal Data Sheet, Specimen Signature |
| Freedom of Information | FOI Request Form |
| Supplementary | Certification undertaken by the representative payee of a person deprived of liberty, and the corresponding Special Power of Attorney |
What no longer needs a form
A useful amount of this library has been superseded by online transactions, and SSS says so in places.
| Transaction | What SSS publishes |
|---|---|
| Sickness notification, employed | The employer notifies SSS online through My.SSS. “Submission of documents over the counter is no longer necessary” |
| Sickness benefit application, individual | Filed inside My.SSS under the Benefits tab |
| Maternity notification, individual | My.SSS, the SSS Mobile App, or a Self-Service Express Terminal |
| Retirement claim | Filed online through My.SSS under Circular No. 2021-021 dated 28 December 2021, with listed exceptions |
| Salary loan application | Filed online through My.SSS or the MySSS mobile app |
| Employment report (R-1A) | Online submission inside the employer’s My.SSS account |
| Payment Reference Number | Generated in My.SSS or the MySSS app, 24/7, at no fee |
If you are downloading a form for one of those, check whether the online route covers your case first. The exceptions are real but narrow: retirement claims with an outstanding SILP, Privatization Loan, Educational Loan or Vocational Technology Loan balance, claims involving guardianship or incapacity, Portability Law or bilateral agreement claims, re-adjudicated claims, and unclaimed benefits of deceased members all still go to a branch.
What each form is actually claiming
A form is only worth filling in if you know what it pays. These are the published figures behind the main claim forms above.
| Form group | The programme’s published figures |
|---|---|
| Sickness Notification and Sickness Benefit Application | 90% of the average daily salary credit; at least 4 days of confinement; 3 months of contributions in the 12-month window; capped at 120 days a year and 240 days per illness; notification within 5 calendar days for home confinement or 1 year from hospital discharge |
| Maternity Notification and Maternity Benefit Application | 100% of the average daily salary credit for 105 days, 120 days for a solo parent under RA 8972, or 60 days for miscarriage; up to 7 days allocable to the father; employer advances payment within 30 days and SSS reimburses 100%; filed within 10 years |
| Retirement Claim Application | 120 monthly contributions for a monthly pension; retirement at 60 optional or 65 technical; ₱1,000 additional benefit since 1 January 2017; a 13th month pension every December since 1988; dependent’s pension of 10% or ₱250 for up to 5 children |
| Application for Housing Loan and the loan payment returns | Short-term member loans run 24 amortisations; the salary loan at 8% or 10% a year with a 1% service fee; the calamity loan at 7% or 10% with a 1% service fee |
| Employer Registration (R-1) and Employment Report (R-1A) | Contributions at 15% of the Monthly Salary Credit, 10% employer and 5% employee, plus ₱10.00 or ₱30.00 of EC; MSC from ₱5,000 to ₱35,000; R-1 processing at 3 hours and 10 minutes with no fee |
| Personal Data Record (E-1) | Backs an SS number application that takes 2 working days and 10 minutes with documents uploaded, at no fee, 24/7 |
What this page does not cover
SSS does not publish, on the downloads page, a form number for every item, a revision date per form, or which forms are superseded. This guide names a form number only where SSS itself does, in the file name or in the charter. It also does not reproduce the contents of any form.
Related
My.SSS registration covers the E-1 and the online route that replaced several of these forms. SSS employer registration covers the R-1 and R-1A, and how to pay SSS contributions covers the PRN that replaced the paper payment return for most individual members.
Frequently asked questions
- What is the SSS E-1 form?
- The Personal Data Record. SSS publishes it as E1-Personal-Record.pdf on its downloadable forms page. It is the record a Member Service Representative checks uploaded documents against when tagging a new SS number as Permanent or Temporary.
- What is the E-4 form?
- The Member's Data Change Request, published as E4-Member-Data-Change-Request.pdf. It is what you use to change details already on your SSS record.
- What is the R-1 form?
- The Employer Registration Form, used to apply for an Employer ID Number. SSS asks for 2 original copies at a branch, along with a Data Privacy Consent and valid ID.
- What is the R-1A form?
- The Employment Report, which an employer uses to report employees. SSS also runs an online submission of the R-1A inside the employer's My.SSS account, so a branch visit is not always needed.
- Do SSS forms cost anything?
- No. They are downloadable from sss.gov.ph at no charge, and the charter records a Total Standard Fee of None for the registration transactions they feed.
- Which transactions no longer need a paper form?
- SSS states that for sickness notifications, over-the-counter submission of documents is no longer necessary once the employer notifies SSS through My.SSS. Retirement, sickness and maternity claims, salary loan applications, PRN generation, disbursement account enrolment and the R-1A all run online for most cases.
- Where do I find the medical certificate for a sickness claim?
- Under Sickness Benefit on the same downloads page. The charter identifies it as Med 01688, and requires the complete diagnosis, the recommended number of days of sick leave including recuperation, the clinic address, a contact number and a legible licence number.
- Is there a form for a kasambahay?
- Yes, the Kasambahay Unified Registration Form on the member side, plus the Household Employer Unified Registration Form and the Household Employment Unified Report Form on the employer side.