SSS forms / SIC-01250
SSS SIC-01250: Sickness Benefit Application
Fill it in
Enter your details and download this SSS form filled in, ready to print and sign. The filling is done by PhilForms; you still hand the form to SSS yourself.
Is this the current SSS copy?
This form was downloaded from sss.gov.ph, the Social Security System’s own website.
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How to file it
SSS sickness benefit: who qualifies and how to apply
SSS sickness benefit: who qualifies, the 90% daily pay, the 5-day notice, and how the Sickness Benefit Application (SIC-01250) is filled, with SSS sources.
Read the step-by-step guide · updated October 15, 2026