This is Authorization Letter for SSS and you will see below the sample & format of authorization letter that we made for this article. The letter below was downloaded in the main site of the Social Security System (SSS) click here. and you can use these documents and fill-up the form to submit the letter to the SSS branch. The attached file below is PDF format and ready to print.
Last Updated: July 30, 2019
AUTHORIZATION LETTER FOR SSS
-SAMPLE/FORMAT-
MLP-O1 284 (12-2016)
AUTHORIZATION LETTER
Date : [MM/DD/YY]
Dear Sir/Madam,
I, _________________________________, single/married with residence/address
(First Name) (Middle Name) (Family Name)
at _____________________ and who is presently an Overseas Filipino Worker/Seafarer
based in _______________ (foreign country), do hereby authorize _____________
(Name of authorized representative), my _______________ (relationship with
authorized representative), of legal age, single/married, and with residence at (residence
address of authorized representative) to file my Calamity Loan Assistance Application duly
signed by me, to sign and receive the Disclosure Statement under the Calamity Loan
Assistance Program and to receive the check on my behalf.
SIGNATURE OVER PRINTED NAME OF MEMBER
SSS NO.__________________
SIGNATURE OVER PRINTED NAME Date Signed by the
Authorized Representative Authorized Representative
Attachments: Printed scanned copies of valid identification (ID) cards/documents of the OFW/Seafarer member and present original copies of valid ID cards/documents of the authorized representative. (refer to List of Filer’s Valid Identification (ID) Cards/Documents at the back of the CLA application form)
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Note: You can use this sample if you are located only in the Philippines country. Do not copy the exact date, person, location and other details above. Remember that this is just a guide to you for creating your authorization letters.
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