AUTHORIZATION LETTER FOR SSS

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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