Navigating the nuances of the Philippine Social Security System (SSS) requires familiarity with specific forms, among which the SSS Form E-417 holds particular significance for individuals undergoing significant life transitions, such as the cessation of employment or self-employment. Designed as an affidavit of separation from employment or self-employment, this document serves a critical role for former employees or self-employed individuals who find themselves outside the conventional workforce, whether in the Philippines or abroad, such as in the United Kingdom. By providing a detailed statement under oath, the filer declares their separation from their last employer or cessation of their business operations, alongside the inability to obtain formal separation documentation. Additionally, this form supports applications for retirement benefits, laying out a structured path for individuals to affirm their employment status—or lack thereof—thereby facilitating their claims. The requirement for personal information, employment history, reasons for the inability to secure formal separation documents, and the official cessation of business or professional practice underlines the form's comprehensive nature. In essence, the SSS Form E-417 not only guides individuals through affirming their current employment status but also stands as a pivotal document in ensuring their rights and benefits within the Philippine Social Security System are upheld.
| Question | Answer |
|---|---|
| Form Name | SSS Form E-417 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | affidavit of separation from employment, affidavit of separation from employment sss form e 417, certificate of separation sss, sss affidavit of separation from employment |
SSS Form
AFFIDAVIT OF SEPARATION FROM
I, ____________________________Filipino, married/single/separated/divorced, of legal age and
residing at _____________________________________________ after having been sworn to in
accordance with the law hereby depose and state:
1.That I am a bonafide member of the Philippine Social Security System with SSS number
___________________________
2. That I was separated from my last employer, __________________________
___________________________, with address at ______________________
___________________________ on ________________________ therafter, I was never
again
3.That I cannot secure a certification of separation from my last employer in the Philippines because __________________________________.
4. That my declared business for
_____________________________________________ has ceased operation as per
attached certification from Barangay in ___________________________________________
dated _________________.
5. That I have stopped practicing my profession as ____________________________ effective
_______________________ because ______________________________.
6. That I am executing this Affidavit to attest to the truth of the foregoing facts and to support my application for retirement benefit.
FURTHER AFFIANT SAYETH NAUGHT.
__________________
AFFIANT
ATTESTED/PROCESSED BY:
SSS Representative, London
IDs Presented
□SSS No. ______________
□Freedom Pass
□Passport No._________________
Issued at _____________ on _____________ and valid until _____________