This document is an employment report form from the Social Security System of the Philippines. It collects information about employers and their employees such as employer details, employee names, social security numbers, dates of birth, dates of employment, monthly earnings, and positions. The instructions provide guidance on the different types of reports, requirements for initial and subsequent reports, notifying SSS of changes, and disqualifications for certain family members from coverage as household employees.
This document is an employment report form from the Social Security System of the Philippines. It collects information about employers and their employees such as employer details, employee names, social security numbers, dates of birth, dates of employment, monthly earnings, and positions. The instructions provide guidance on the different types of reports, requirements for initial and subsequent reports, notifying SSS of changes, and disqualifications for certain family members from coverage as household employees.
This document is an employment report form from the Social Security System of the Philippines. It collects information about employers and their employees such as employer details, employee names, social security numbers, dates of birth, dates of employment, monthly earnings, and positions. The instructions provide guidance on the different types of reports, requirements for initial and subsequent reports, notifying SSS of changes, and disqualifications for certain family members from coverage as household employees.
This document is an employment report form from the Social Security System of the Philippines. It collects information about employers and their employees such as employer details, employee names, social security numbers, dates of birth, dates of employment, monthly earnings, and positions. The instructions provide guidance on the different types of reports, requirements for initial and subsequent reports, notifying SSS of changes, and disqualifications for certain family members from coverage as household employees.
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Republic of the Philippines
SOCIAL SECURITY SYSTEM
R-1A
EMPLOYMENT REPORT
(03-2008)
(Please read instructions/reminders at the back. Print all information in black
ink.)
EMPLOYER/SS NUMBER
TYPE OF REPORT
TYPE OF EMPLOYER
NAME OF BUSINESS/EMPLOYER
Regular Household (HR)
AREA CODE
BUSINESS ADDRESS
TELEPHONE NUMBER
POSTAL CODE
NAME OF EMPLOYEE
SS NUMBER
DATE OF
(Surname)
DATE OF EMPLOYMENT (MM/DD/YYYY)
BIRTH
1)
(Given Name)
Initial Subsequent
(Middle Name)
MONTHLY EARNINGS
POSITION
RELATIONSHIP WITH OWNER/ HR
For SSS Use
(MM/DD/YYYY)
2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12)
13) 14) 15) NAME OF OWNER/MANAGING PARTNER/PRESIDENT/CHAIRMAN: TOTAL NO. OF REPORTED EMPLOYEE/S
Page
of
RECEIVED/L-501 VERIFIED BY/DATE:
ENCODED BY/DATE:
EVALUATED BY/DATE:
I CERTIFY TO THE CORRECTNESS OF ABOVE
INFORMATION.
Page/s Signature Over Printed Name
Official Designation
Date
Signature Over Printed Name
Signature Over Printed
Name
Signature Over Printed Name
INSTRUCTIONS/REMINDERS 1.
Submit in two (2) copies and indicate the types of employer and report by putting checkmarks on the applicable boxes.
2.
Employers are required to report within thirty (30) days to the SSS all its employees, who are subject to compulsory coverage. Should such employee die, becomes sick or disabled or reaches the age of sixty (60) without being reported by his employer, the latter shall pay to the SSS damages equivalent to the benefits due had he been reported on time.
3.
Misrepresentation of the true date of employment, monthly earnings or other data of employees is punishable under the penal provision of the SSS Law. A. FOR REGULAR EMPLOYERS A.1 IF INITIAL REPORT A.1.1 Submit with the Employer Registration Form (SS Form R-1A) and the required supporting documents. A.1.2 The owner of a single proprietorship business is disqualified to be reported as an employee thereof. However, he may register as a self-employed member, provided he is not over 60 years old. A.1.3 Indicate the relationship to the owner, if a single proprietorship business reporting the owner's spouse, parent or unmarried minor child. A.2 IF SUBSEQUENT REPORT A.2.1 Submit with the unexpired Specimen Signature Card (SS Form L-501) signed by any of the authorized signatories in the SS Form L-501. A.2.2 Indicate your correct business name, 13-digit ER Number and business address as registered with the SSS. A.2.3 The owner of a single proprietorship business is disqualified to be reported as an employee thereof. However, he may register as a self-employed member, provided he is not over 60 years old. A.2.4
Indicate the relationship to the owner, if a single proprietorship business reporting the owner's spouse, parent or unmarried minor child.
A.3 Notify SSS of any changes in data and the status of the employer's business operations to avoid being billed for period/s when no contributions are due. Fill up and submit Employer Data Change Request Form (SS Form R-8) supported by the required document/s, in any of the following cases: Temporary suspension, permanent cessation or merger/consolidation of business operations; and Changes in the employer's data such as business name, address, ownership, legal personality and other relevant information B. FOR HOUSEHOLD EMPLOYERS B.1 Indicate your correct name and SS number. B.2 The following family members of the Household Employer are not qualified for coverage as househelpers: Parents Spouse Legitimate or illegitimate children/brother/sister/grandchildren/great grandchildren Parents/sisters/brothers-in-law 4.
Write "Nothing Follows" immediately after the last reported employee.
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