Application for Registration with the Social Security System (SSS), Philippine Health Insurance Commission (PHIC) and

Home Development Mutual Fund

(HDMF)
Document Description / Comment Source Draft / Sample Source
SSS
1 Form R-1 Fill out form in 2 copies - Part I-A only SGV Standard form
May be handwritten or computerized
Submit with draft_SSS R-1.pdf
o approved Articles of Incorporation from SEC
and
o Certificate of Incorporation from SEC
Submit to nearest SSS branch office
2 Employment Report (R-1A) Should submit 2 copies reporting all BHPs SGV to Standard Form
employees for SSS coverage within 30 days from the prepare,
date of their employment to nearest SSS branch BHP to draft_SSS_R_1_A.pd
f
office. provide
Submit with SEC Certificate of Registration information
and sign
3 Specimen Signature Card (L- Submit two copies SGV to Standard Form
501) Any signature in the space for "Employer's prepare,
Representative" in salary and calamity application BHP to draft_SSS L-501.pdf
forms will not be honored unless signatures appear provide info
in this form and are filed with the SSS. and sign
PHIC
1 Employer Data Record (ER1) SGV Standard Form

draft_ER 1.pdf

2 Report of Employee- Should submit 2 copies reporting all BHPs SGV for Standard Form
Members (ER2) employees for PHIC coverage within 30 days from initial
the date of their employment to nearest PHIC registration, draft_ER 2.pdf
branch office. (However for purposes of registration, BHP to sign
BHP should have at least one (1) employee)
SEC Certificate of Registration
HDMF
1 Employers Data Form
2 Specimen Signature Request
Form
Submit 1 copy together with SGV to Standard Form
o Specimen Signature Form prepare, BHP
o SSS Certification if registered with SSS to sign draft_EDF.pdf
o Business Permit
o SEC Certificate of Incorporation
o Approved Articles of Incorporation and By-
Laws
o SSS Form R1-A
Report all BHPs employees for HDMF coverage
within 30 days from the date of their employment to
nearest HDMF branch office.
Copy of the Identification card of the signatory SGV to
(should be one of the signatories in the Specimen prepare, BHP
Signature Card to execute draft_specimen
signature_PAGIBIG.pdf
The signatories in the Specimen Signature Request
Form are those authorized by the Board to sign and
authorize the SSS claims of the employees