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    Waiver For Funeral Benefit

    Uploaded by

    Rose Camp
    This document is a waiver form for funeral benefits from the Social Security System (SSS) in the Philippines. The deceased person's relative waives their right to claim the SSS funeral benefits. The form provides fields for the names and relationships of the deceased person and claimant, as well as spaces for signatures and notarization to validate the waiver of benefits.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Waiver For Funeral Benefit

    Uploaded by

    Rose Camp
    78 views1 page
    This document is a waiver form for funeral benefits from the Social Security System (SSS) in the Philippines. The deceased person's relative waives their right to claim the SSS funeral benefits. The form provides fields for the names and relationships of the deceased person and claimant, as well as spaces for signatures and notarization to validate the waiver of benefits.

    Original Description:

    sample waiver for funeral benefit

    Original Title

    Waiver for Funeral Benefit

    Copyright

    © © All Rights Reserved

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    This document is a waiver form for funeral benefits from the Social Security System (SSS) in the Philippines. The deceased person's relative waives their right to claim the SSS funeral benefits. The form provides fields for the names and relationships of the deceased person and claimant, as well as spaces for signatures and notarization to validate the waiver of benefits.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    78 views1 page

    Waiver For Funeral Benefit

    Uploaded by

    Rose Camp
    This document is a waiver form for funeral benefits from the Social Security System (SSS) in the Philippines. The deceased person's relative waives their right to claim the SSS funeral benefits. The form provides fields for the names and relationships of the deceased person and claimant, as well as spaces for signatures and notarization to validate the waiver of benefits.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines ____________________________ )

    City / Municipality of_________________________________ ) S.S.


    Province of ________________________________________ )

    WAIVER FOR FUNERAL BENEFIT

    I _______________________ , __________________ of the late ______________________________


    ( NAME ) ( RELATIONSHIP TO THE ( NAME OF THE DECREASED )
    DECREASED )

    with SS Number ___________________________ who died on _____________________ hereby walves my


    ( SS NUMBER OF THE DECREASED ) ( DATE OF DEATH )

    right to _______________________________ to claim for SSS Funeral Benefits.


    ( NAME CLAIMANT )

    Signature Over Printed Name/ Date

    ID Presented

    SUBSCRIBE and SWORN TO before me this _______________ day of ___________________, 20___ in


    __________________________________________ , Philippines.

    NOTARY PUBLIC

    Inst _________________________ Until_________________________________


    Series No. ____________________ PRT No. ______________________________
    Book No. _____________________ Issued on _____________________________
    at ___________________________________

    Please attach PHOTOCOPY OF VALID IDENTIFICATION CARD

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