The Republic of the Philippines has streamlined the process for individuals seeking to claim benefits under challenging circumstances with the introduction of the DDR-2 form. Designed by the Social Security System, this form caters to claims related to Death, Disability, Retirement, and Early Withdrawal, particularly under the Flexi-Fund Program. To ensure accuracy and transparency, the form mandates the use of capital letters and black ink only, emphasizing the importance of clarity in each submission. It is structured to collect comprehensive details about the member, including but not limited to, the SS number, name, address, and the type of claim being made. Furthermore, claimants have the option to choose between lump-sum payments and pensions, depending on the nature of their claim, such as for death or disability benefits. This form also necessitates detailed information about dependent children and banking details for processing payments. Notably, the DDR-2 form is accompanied by stringent instructions and warnings against the provision of false information, underlining the serious legal implications of falsification. To support a claim, a checklist of required documents is provided, ranging from certificates of death or birth to medical and accident reports, depending on the nature of the claim. This process underscores the Philippine Social Security System's effort to provide a structured and secure means for individuals to navigate the complexities of claiming benefits during times of need.
| Question | Answer |
|---|---|
| Form Name | Ddr 2 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | guarantors form sss, sss guarantor's form bpn 107, guarantors form sss meaning, disability claim application sss form ddr1 |
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Republic of the Philippines |
SOCIAL SECURITY SYSTEM |
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DEATH, DISABILITY, RETIREMENT AND EARLY WITHDRAWAL CLAIM |
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(REV. |
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(Please read instructions at the back, Print all information in capital letters & use blank ink only) |
MEMBER'S SS NUMBER (must be 10 digits)
MEMBER'S NAME (SURNAME) |
(GIVEN NAME) |
(MIDDLE NAME) |
ADDRESS (NUMBER & STREET) |
(BARANGAY) |
(TOWN/DISTRICT) |
(CITY/PROVINCE) |
POSTAL CODE
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DATE OF BIRTH (MM/DD/YYYY) |
CLAIM TYPE |
BENEFIT OPTION (Check option) |
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DEATH |
LUMPSUM |
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PENSION |
BOTH |
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DISABILITY |
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Indicate the no. of years |
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TELEPHONE NO. |
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LUMPSUM: P |
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RETIREMENT |
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NO. OF YEARS |
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NO. OF YEARS |
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EARLY WITHDRAWAL |
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OF PENSION: |
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DEPENDENT CHILDREN |
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DATE OF BIRTH |
Check Applicable Column |
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ADDRESS |
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(Beginning from the youngest) |
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(MM/DD/YYYY) |
LEGITIMATE |
ILLEGITIMATE |
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NAME OF BANK/BRANCH
BANK ADDRESS
ACCOUNT NUMBER
BRSTN(SSS to fill in this portion)
CLAIMANT'S NAME (SURNAME) |
(GIVEN NAME) |
(MIDDLE NAME) |
DATE OF BIRTH (MM/DD/YYYY)
RELATIONSHIP TO MEMBER
Photo
1 x 1
Signature of Claimant |
Date |
WITNESSES TO FINGERPRINTS (If claimant cannot sign)
1. |
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Signature Over Printed Name |
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Date |
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2. |
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Signature Over Printed Name |
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Date |
RIGHTTHUMBMARK |
RIGHT INDEX |
REMARKS |
NO OTHER |
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CLAIM FILED |
FOR SSS USE ONLY
CLEARED/DATE
RECEIVED/DATE:
Signature Over Printed Name
Signature Over Printed Name
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SOCIAL SECURITY SYSTEM |
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ACKNOWLEDGEMENT RECEIPT |
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PLEASE PRESENT THIS WHEN INQUIRING |
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DEATH, DISABILITY, RETIREMENT, |
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ABOUT THE STATUS OF YOUR APPLICATION. |
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AND EARLY WITHDRAWAL CLAIM |
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VERIFICATION WILL BE ENTERTAINED AFTER |
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_______ DAYS FROM THE DATE OF RECEIPT |
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MEMBER'S SS NUMBER (must be 10 digits) |
MEMBER'S NAME (SURNAME) (GIVEN NAME) |
(MI) |
FOR SSS USE ONLY |
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DATE RECEIVED |
RECEIVED BY |
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GENERAL INSTRUCTIONS
1.Accomplish this form in one (1) copy without erasures or alterations.
2.If claimant cannot sign, affix right thumbmark and right index on the spaces provided and must be identified by two (2) witnesses.
3.If the benefit option selected is pension, submit photocopy together with the original copy of single savings account passbook.
W A R N I N G
ANY PERSON WHO MAKES FALSE STATEMENTS IN THIS APPLICATION OR SUBMITS FALSIFIED DOCUMENTS IN CONNECTION WITH HIS CLAIM SHALL BE LIABLE CRIMINALLY FOR FALSIFICATION OF PUBLIC DOCUMENTS.
CHECKLIST OF REQUIRED DOCUMENTS AND SPECIFIC INSTRUCTIONS
DEATH
Primary Beneficiaries
Death Certificate of member Marriage Certificate Birth/Baptismal Certificates of minors
Medical Certificate of incapacitated child, if any Death Certificate of spouse, if already deceased Application for Representative Payee
Proof of relationship such as record of birth, a statement before a court of record or any authentic writing/document
-Duly registered with Local Civil Registry Office
-Duly registered with Local Civil Registry Office
-Duly registered with Local Civil Registry Office/Parish Church
-To be accomplished by the child's attending physician
-Duly registered with Local Civil Registry Office
-To be accomplished by the guardian of the minor children other than parent
-To be accomplished by a guarantor, if minor children are under a guardian
-To be submitted for illegitimate children
Secondary Beneficiaries
If Claimant is Parent |
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Death Certificate of member |
- Duly registered with Local Civil Registry Office |
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Birth Certificate of deceased member |
- Duly registered with Local Civil Registry Office/Parish Church |
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Marriage Certificate of parents |
- Duly registered with Local Civil Registry Office/Parish Church |
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If Claimant is other than Parents |
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Death Certificate of parents |
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To be submitted if parents are deceased |
Birth Certificate of the deceased brother/sister |
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To be submitted to prove claimant's relationship with the deceased |
Birth Certificate of minor beneficiaries |
- Duly registered with Local Civil Registry Office/Parish Church |
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Medical Certificate
Operating Room Record
Accident Report
Other medical records that may be requested by
the Medical Benefits Section, Diliman Branch
DISABILITY
-To be accomplished by the claimant's attending physician
-To be secured if claimant has been operated on
-To be secured from the employer
RETIREMENT
Birth Certificate of member |
- To be submitted if with discrepancy in the date of birth |