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  • SSS Philippines accident report form

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    Mayette Pamilara Payaban
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    This document is an accident/sickness report form from the Social Security System of the Republic of the Philippines. The form collects information such as the employee's name and social security number, the employer's name and identification number, the date and time of the accident or sickness, whether it occurred during regular or overtime hours, and a brief description of the incident. The employee's supervisor and personnel manager must also sign and date the completed form.

    Original Description:

    sss form

    Original Title

    SSSForm EC Accident Sickness Report

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    This document is an accident/sickness report form from the Social Security System of the Republic of the Philippines. The form collects information such as the employee's name and social security number, the employer's name and identification number, the date and time of the accident or sickness, whether it occurred during regular or overtime hours, and a brief description of the incident. The employee's supervisor and personnel manager must also sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2K views1 page

    SSS Philippines accident report form

    Uploaded by

    Mayette Pamilara Payaban
    This document is an accident/sickness report form from the Social Security System of the Republic of the Philippines. The form collects information such as the employee's name and social security number, the employer's name and identification number, the date and time of the accident or sickness, whether it occurred during regular or overtime hours, and a brief description of the incident. The employee's supervisor and personnel manager must also sign and date the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    REPUBLIC OF THE PHILIPPINES

    SOCIAL SECURITY SYSTEM


    IMPORTANT
    ACCIDENT/SICKNESS REPORT IF VEHICULAR ACCIDENT
    SSS FORM B-309 (Revised 06/88) eeg ATTACH COPY OF POLICE RE-
    PORT
    NAME OF EMPLOYEE (Last, First, Middle) SS NUMBER

    NAME OF EMPLOYER ADDRESS SS I.D. NUMBER

    JOB DESCRIPTION OR OCCUPATION

    DATE OF ACCIDENT/SICKNESS EXACT TIME PLACE

    (Check applicable box)


    REGULAR WORKING HOURS OVERTIME
    From To From To

    DATE LAST REPORTED FOR WORK DATE RETURNED TO WORK

    BRIEF DESCRIPTION OF ACCIDENT/SICKNESS

    SIGNATURE OF IMMEDIATE SUPERVISOR SIGNATURE OF PERSONNEL MANAGER


    DATE DATE

    (Signature above printed name)


    Internet Edition (7/2000)

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