Sss Form For Self Employed PDF Details

Are you a self-employed individual who needs an SSS Form? If yes, then you've come to the right place. Finding and filling out the necessary paperwork to help secure your benefits can be daunting—especially when it comes to forms used by Social Security System (SSS). Don’t worry though; we can walk you through all of the steps required in order to complete your very own SSS Form for Self Employed. Keep reading on to get started!

QuestionAnswer
Form NameSss Form For Self Employed
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshow to apply self employed in sss online, how to register sss online self employed, sss requirements for self employed, how to self employed in sss

Form Preview Example

 

SS NUMBER

 

 

 

 

SOCIAL SECURITY SYSTEM

 

RS-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SELF-EMPLOYED DATA RECORD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM BRG-103

 

REV. 7/91

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SURNAME

GIVEN NAME

MIDDLE NAME

DATE OF BIRTH

PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

SEX

 

 

 

 

 

 

 

CIVIL STATUS

 

 

 

 

 

 

 

 

 

TEL NO.

 

 

 

MALE

 

 

 

FEMALE

 

 

 

SINGLE

 

MARRIED

 

WIDOW/ER

RESIDENCE:

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL CODE

 

 

 

 

PROFESSIONAL/

 

 

YEAR PROFESSION/

DATE OF

SS NUMBER PREVIOUSLY ASSIGNED

(SSS USE ONLY)

 

 

 

 

BUSINESS CODE

 

 

BUSINESS STARTED

COVERAGE

IF ANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX ACCOUNT NUMBER

 

 

 

 

 

 

 

 

 

YEARLY

 

 

 

 

 

 

MONTHLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET EARNINGS

 

 

 

 

 

NET EARNINGS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

 

 

 

 

 

 

P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPOUSE

CHILDREN

1

2

3

4

5

DATE RECEIVED

BENEFICIARY/IES

AGE

FATHER

 

 

 

 

AGE

AGE

MOTHER

 

 

 

 

AGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER BENEFICIARIES (If you do not have spouse, children

 

 

 

 

 

 

and parents)

 

 

 

NAME

 

 

 

RELATIONSHIP

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I HEREBY CERTIFY THAT THE ABOVE STATEMENTS

ARE TRUE AND CORRECT.

SIGNATURE

THUMB PRINTS

LEFT

RIGHT

Internet Edition (7/2000)

Cut along the dotted line.

Please read instructions on page 2 of this form.

INSTRUCTIONS

1.Submit this form in two copies together with the original/certified true copy and photocopy of the following supporting documents:

PRIMARY DOCUMENTS

-Birth Certificate; or

-Baptismal Certificate; or

-Passport

OTHER REQUIRED DOCUMENTS

For reporting spouse - Marriage Contract

For reporting child -

If legitimate:

Birth or Baptismal Certificate

If illegitimate:

Birth or Baptismal Certificate or in its absence,

Proof of Parentage or Relationship

If legally adopted:

Decree of Adoption

In the absence of any of the primary documents, submit any two of the following where the name and date of birth of the registrant appear:

SECONDARY DOCUMENTS

-Record of Employment/Employer ID

-GSIS Member’s Record

-Certification from National Archives

-Alien Certificate of Registration

-School/Voter ’s Identification Card

-Driver’s License

-Marriage Contract

-Birth Certificate of children

-Joint Affidavit of two disinterested persons attesting to the correct name & date of birth of the applicant

2.If the above-stated documents are not available at the time of registration, comply immediately by submitting to the nearest SSS office to facilitate availment of benefits and privileges.

REMINDERS

1.An SS number is a lifetime number. No one should have more than one SS number.

2.Notify us in writing in case you would like to change your monthly contribution.

3.A change in monthly contribution may be requested any time but only once in a year.

If the requested change is one step higher or lower from your current monthly sal- ary credit (MSC), no supporting document is required.

If the requested change is more than the next higher or lower step from your cur- rent MSC, submit a copy of your Income Tax Return (ITR) for the prior year duly received by the Bureau of Internal Revenue.