Sss Contribution R 3 Form PDF Details

In the Republic of the Philippines, the Social Security System (SSS) Contribution Collection List, known as the R-3 form, serves as a critical document for employers to accurately report their employees' social security and employee compensation contributions each quarter. Revised in August 1999, this form requires detailed information such as the employer's ID number, the registered employer name, contact details, and the type of employer—whether regular or household. It further demands the listing of each employee by name, social security number, the total remuneration for each month within the quarter, and the respective contributions. Employers are also obliged to report any employee separations, including the date and final contributions. This comprehensive form must be filled out in black ink, following specific instructions to ensure correct employee credit. Additionally, the form outlines the payment details, including adjustments to previous submissions and the corresponding total contributions. Failing to comply with the submission requirements laid out in the accompanying instructions could result in significant penalties. Employers are urged to submit the original and a duplicate copy of the completed form, alongside additional required documents, to their nearest Social Security System or postal services office within the set deadline to avoid sanctions as per Section 28 (e) of the SSS law.

QuestionAnswer
Form NameSss Contribution R 3 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesr3 file generator sss download, sss r3 file generator 2021 download, sss r 3 form, new sss r3 file generator 2021

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R-3

Republic of the Philippines

SOCIAL SECURITY SYSTEM

REV. 08-99

Contribution Collection List

(Please Read Instructions at the Back. Print All information in Black Ink)

EMPLOYER ID NUMBER

 

 

 

 

 

REGISTERED EMPLOYER NAME

 

 

 

 

 

 

 

M M Y Y Y Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUARTER ENDING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TEL. NO.

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

TYPE OF EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Regular

 

Household

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF MEMBER

 

 

SOCIAL SECURITY

 

EMPLOYEE COMPENSATION

SEPARATION DATE

 

 

SS NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Month

2nd Month

3rd Month

 

 

(MM DD YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Month 2nd Month 3rd Month

 

 

 

 

 

 

 

 

 

 

 

(Surname)

(Given Name)

(MI)

 

 

 

 

 

 

 

 

 

 

 

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

TOTALS FOR THIS PAGE (to be filled out on every page)

 

K

 

 

 

PAGE

 

GRAND TOTAL

 

 

 

 

 

 

 

 

 

PAYMENT DETAILS

ADJUSTMENT TYPE:

CERTIFIED CORRECT AND PAID:

 

Appl.Mo.

Social Security

Employee

Grand Total

TR/SBR NO.

Date Paid

Amount Paid

 

 

 

 

 

Compensation

 

 

 

Addition to Previously

Signature Over Printed Name

OF

1st

 

 

 

 

 

Submitted R-3

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

Deduction from Previously

 

 

 

 

 

 

 

 

Submitted R-3

 

 

PAGES

3rd

 

 

 

 

 

Official Designation

Date

 

 

 

 

 

 

 

 

PROCESSED BY/DATE:

ENCODED BY/DATE:

OTHER NOTATIONS:

RECEIVED BY/DATE:

 

 

FOR

 

 

 

 

 

 

 

 

 

SSS

 

 

 

 

 

 

 

 

 

USE

 

 

 

 

 

 

 

 

 

 

Signature Over Printed Name

 

Signature Over Printed Name

 

 

 

 

INSTRUCTIONS / REMINDER

1.IF SUBMITTING A REGULAR OR ADJUSTMENT R-3,

1.1Fill out in two (2) copies and indicate the type of employer by shading the applicable circle.

1.2Write the month and year of the applicable quarter ending March, June, September and December on the space provided.

1.3Check applicable box of adjustment.

2.Do not skip any line when filling out the form. Write “Nothing Follows” in the line immediately after the last employee.

3.Write the correct 10-digit SS number of your employees to ensure that all contributions paid will be credited to them.

4.Write family names as they are pronounced. For instance, Juan DELA CRUZ, Jose DELOS SANTOS, Pedro DE GUIA should be written as DELA CRUZ, Juan; DELOS SANTOS, Jose; DE GUIA, Pedro. Also, suffixes such as Jr., Sr., II, III should be written after the family name. For example, Lucio San Juan Jr. and Efren De Guzman III should be written as San Juan Jr., Lucio and De Guzman III, Efren, respectively.

5.Write the month, day and year of separation of your employee, if applicable.

6.The monthly Social Security (SS) and Employee Compensation (EC) contributions for an employee are based on his total actual remuneration for such month. Actual remunerations include the mandated cost of living allowances as well as the cash value of any remuneration paid in any medium other than cash, except that part of the remuneration in excess of the maximum contribution base. In filling out the SS and EC contributions, follow the sample below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security

 

 

 

 

 

 

Employee Compensation

Separation Date

 

 

 

 

 

 

 

 

 

 

Name of Member

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SS Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd Month

 

(MM DD YYYY)

 

 

 

(Surname)

(Given name)

(MI)

 

1st Month

2nd Month

 

 

3rd Month

 

1st Month

 

2nd Month

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

3

1

2

3

4

5

6

7

7

1. San Juan Jr.,

Lucio

A.

 

 

9

2

4

 

 

9

2

4

 

 

 

 

 

 

 

1

0

 

 

1

0

 

 

 

0

2

2

8

1

9

9

9

0

3

4

5

6

7

8

9

0

1

2. De Guzman III,

Efren

B.

 

 

1

2

6

 

 

1

2

6

 

 

1

2

6

 

 

1

0

 

 

1

0

 

1

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SS AND EC

 

 

 

 

DATE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRIBUTIONS

 

 

 

SEPARATION

 

 

 

 

 

 

 

 

 

 

 

7.Fill out the Grand Total and Payment Details of the last page of the R-3 only.

8.Submit the original and duplicate copies of the accomplished form together with the corresponding extra copies of Form R-5s and SBRs to the NEAREST SSS OR POSTAL SERVICES OFFICE within the first (10) days of the month after the applicable quarter. The duplicate copy of this form is given back to the employer.

9.If SUBMITTING THROUGH THE POSTAL SERVICES OFFICE, mail this form with the R-5s and SBRs and prominently mark the envelope with “SSS Form R-3” addressed to the nearest SSS Office.

10.IF SUBMITTING A PRE-PRINTED R-3, effect all the necessary correction/adjustment in the form (2 copies).

Note: The amounts contained herein were based on the last R-3 posted & must be corrected corresponding to the actual income of the employees for the period.

11.Employers who fail to comply with the above requirements shall be subject to the provision of Section 28 (e) of the SSS law, as amended which states that “Whoever fails or refuses to comply with the provision of this Act or with the rules and regulations promulgated by the Commission, shall be punished by a fine of not less than Five thousand pesos (P5,000) nor more than Twenty thousand pesos (P20,000), or imprisonment for not less than six (6) years and one (1) day nor more than twelve (12) years or both, at the discretion of the court.”

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