SSS Form E-417 PDF Details

It’s easy to forget about the mundane details in life like taxes and paperwork, but for an aspiring business owner, forms like the SSS Form E-417 can be a necessary hurdle to cross. Having up-to-date information is key to making sure that all of your financial transactions are properly reported and documented. This form is used by employers to collect personal data including addresses, phone numbers, Social Security numbers and other relevant employees' salary information; so make sure you’re familiar with it! In this blog post we will take a look at why its important to stay up-to-date on Form E 417 submission requirements as well guide you through filling out the form correctly. Let's get started.

QuestionAnswer
Form NameSSS Form E-417
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaffidavit of separation from employment, affidavit of separation from employment sss form e 417, certificate of separation sss, sss affidavit of separation from employment

Form Preview Example

SSS Form E-417 A

AFFIDAVIT OF SEPARATION FROM EMPLOYMENT/SELF-EMPLOYMENT

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 re-employed in the Philippines and ceased employment whatsoever in the United Kingdom effective _____________________ .

3.That I cannot secure a certification of separation from my last employer in the Philippines because __________________________________.

4. That my declared business for self-employment at

_____________________________________________ 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 _____________