"Civil"PhilHealth"BIR"Pag-IBIG"GSISCivil Service Commission (CSC) FormsPhilHealth FormsBIR FormsPag-IBIG Fund FormsGSIS Forms
| PERSONAL DATA SHEET (PDS) | |||
| 2017 Personal Data Sheet (PDS) - MS Excel Format (90 KB) | download | ||
| Work Experience Sheet - MS Word Format (20 KB) | download | ||
| Guide to Filling Up the Percosnal Data Sheet - MS Word Format (56 KB) | download | ||
| CSC MEDICAL CERTIFICATE FORM | |||
| CSC Form No. 211 (Medical Certificate) Revised August 1998 - PDF Format (571 KB) | view | ||
| STATEMENT OF ASSETS, LIABILITIES, AND NET WORTH | |||
| 2015 SALN Form - MS Word Format (94 KB) | download | ||
| 2015 SALN Form (Additional Sheets) - MS Word Format (82 KB) | download | ||
| Sample SALN Form - PDF Format (3 MB) | view | ||
| MEMBERSHIP | |||
| PhilHealth Membership Registration Form - PDF Format (696 KB) | view | ||
| PhilHealth Membership Registration Form for Foreign Nationals - PDF Format (64 KB) | view | ||
| CLAIMS | |||
| Claim Signature Form - PDF Format (103 KB) | view | ||
| Member and Patient Information - PDF Format (100 KB) | view | ||
| Provider Information - PDF Format (147 KB) | view | ||
| Patient's Clinical Record - PDF Format (173 KB) | view | ||
| Clinical Summary - PDF Format (293 KB) | view | ||
| E-CLAIMS | |||
| Software Certification Application Form (SCAF) - PDF Format (120 KB) | view | ||
| Non-Disclosure Agreement (NDA) - PDF Format (26 KB) | view | ||
| Software Certification Agreement (SCA) - PDF Format (31 KB) | view | ||
| e-Claims Cloud Storage Technical Specifications - PDF Format (601 KB) | view | ||
| PCSS Application Form - PDF Format (690 KB) | view | ||
| DIALYSIS DATABASE | |||
| Registration Form - PDF Format (214 KB) | view | ||
| Certification on Diagnosis and Management of CKD Stage 5 - PDF Format (195 KB) | view | ||
| PAYMENT | |||
| PhilHealth Premium Payment Slip - PDF Format (398 KB) | view | ||
| EMPLOYERS | |||
| Employer Data Record - PDF Format (104 KB) | view | ||
| Report of Employee-Members - PDF Format (261 KB) | view | ||
| Employee Data Amendment Form - PDF Format (374 KB) | view | ||
| Employer's Remittance Report - PDF Format (80 KB) | view | ||
| ACCREDITED COLLECTING AGENTS (ACA's) | |||
| Non-Disclosure Agreement (NDA) - PDF Format (455 KB) | view | ||
| PhilHealth Online Access Form - PDF Format (302 KB) | view | ||
| KASAMBAHAY | |||
| Household Employer Unified Registration Form - PDF Format (49 KB) | view | ||
| Household Employment Unified Report Form - PDF Format (53 KB) | view | ||
| Kasambahay Unified Registration Form - PDF Format (141 KB) | view | ||
| Household PhilHealth Payment Slip - PDF Format (517KB) | view | ||
| LIST OF BIR FORMS | ||||
| 0605 | Payment Form | Excel (zip file) | ||
| 0611-A | Payment Form Covered by a Letter Notice | |||
| 0613 | Payment Form Under Tax Compliance Verification Drive/Tax Mapping | Excel (zip file) | ||
| 0619-E | Monthly Remittance Form for Creditable Income Taxes Withheld (Expanded) | Guidelines | ||
| 0619-F | Monthly Remittance Form for Final Income Taxes Withheld | Guidelines | ||
| 0620 | Monthly Remittance Form of Tax Withheld on the Amount Withdrawn from the Decedent's Deposit Account | |||
| 1600-VT | Monthly Remittance Return of Value-Added Tax Withheld | Guidelines | ||
| 1600-PT | Monthly Remittance Return of Other Percentage Taxes Withheld | Guidelines | ||
| 1600-WP | Remittance Return of Percentage Tax on Winnings and Prizes Withheld by Race Track Operators | Guidelines | ||
| 1601-C | Monthly Remittance Return of Income Taxes Withheld on Compensation | |||
| 1601-EQ | Quarterly Remittance Return of Creditable Income Taxes Withheld (Expanded) | Guidelines | ||
| 1601-FQ | Quarterly Remittance Return of Final Income Taxes Withheld | Guidelines | ||
| 1602Q | Quarterly Remittance Return of Final Income Taxes Withheld On Interest Paid on Deposits and Yield on Deposit Substitutes/Trusts/Etc. | |||
| 1603Q | Quarterly Remittance Return of Final Income Taxes Withheld on Fringe Benefits Paid to Employees Other than Rank and File | |||
| 1604-C | Annual Information Return of Income Taxes Withheld on Compensation | Guidelines | ||
| 1604-F | Annual Information Return of Income Payments Subjected to Final Withholding taxes | |||
| 1604-E | Annual Information Return of Creditable Income Taxes Withheld (Expanded)/ Income Payments Exempt from Withholding Tax | |||
| 1606 | Withholding Tax Remittance Return For Onerous Transfer of Real Property Other Than Capital Asset (Including Taxable and Exempt) | Excel (zip file) | ||
| 1621 | Quarterly Remittance Return of Tax Withheld on the Amount Withdrawn from Decedent's Deposit Account | |||
| 1700 | Annual Income Tax Return for Individuals Earning Purely Compensation Income (Including Non-Business/Non-Profession Related Income) | |||
| 1701 | Annual Income Tax Return for Individuals (including MIXED Income Earner), Estates and Trusts | |||
| 1701A | Annual Income Tax Return for Individuals Earning Income PURELY from Business/Profession (Those under the graduated income tax rates with OSD as mode of deduction OR those who opted to avail of the 8% flat income tax rate) | |||
| 1701Q | Quarterly Income Tax Return for Individuals, Estates and Trusts | Guidelines | ||
| 1702-RT | Annual Income Tax Return for Corporation, Partnership and Other Non-Individual Taxpayer Subject Only to REGULAR Income Tax Rate | |||
| 1702-EX | Annual Income Tax Return for Corporation, Partnership and Other Non-Individual Taxpayers EXEMPT Under the Tax Code, as Amended, [Sec. 30 and those exempted in Sec. 27(C)] and Other Special Laws, with NO Other Taxable Income | |||
| 1702-MX | Annual Income Tax Return for Corporation, Partnership and Other Non-Individual with MIXED Income Subject to Multiple Income Tax Rates or with Income Subject to SPECIAL/PREFERENTIAL RATE | Attachment | ||
| 1702Q | Quarterly Income Tax Return for Corporations, Partnerships and Other Non-Individual Taxpayers | |||
| 1704 | Improperly Accumulated Earnings Tax Return For Corporations | Excel (zip file) | ||
| 1706 | Capital Gains Tax Return for Onerous Transfer of Real Property Classified as Capital Asset (both Taxable and Exempt) | Excel (zip file) | ||
| 1707 | Capital Gains Tax Return for Onerous Transfer of Shares of Stocks Not Traded Through the Local Stock Exchange | Guidelines | ||
| 1707-A | Annual Capital Gains Tax Return for Onerous Transfer of Shares of Stock Not Traded Through the Local Stock Exchange | Excel (zip file) | ||
| 1709 | Information Return on Transactions with Related Party (Foreign and/or Domestic) | |||
| 1800 | Donor's Tax Return | Guidelines | ||
| 1801 | Estate Tax Return | Guidelines | ||
| 1900 | Application for Authority to Use Computerized Accounting System or Components thereof/Loose-Leaf Books of Accounts | Excel (zip file) | ||
| 1901 | Application for Registration For Self-Employed (Single Proprietor/Professional), Mixed Income Individuals, Non-Resident Alien Engaged in Trade/Business, Estates and Trusts | |||
| 1902 | Application for Registration For Individuals Earning Purely Compensation Income (Local and Alien Employee) | |||
| 1903 | Application for Registration For Corporations, Partnerships (Taxable/Non-Taxable), Including GAIs, LGUs, Cooperatives and Associations | |||
| 1904 | Application for Registration For One-Time Taxpayer and Persons Registering under E.O. 98 (Securing a TIN to be able to transact with any Government Office) | PDF 2018 ENCS | PDF 2020 ENCS | |
| 1905 | Application for Registration Information Update/Correction/Cancellation | |||
| 1906 | Application for Authority to Print Receipts and Invoices | |||
| 1907 | Application for Permit to Use Cash Register Machine/Point-of-Sale Machine | Excel (zip file) | ||
| 2000 | Monthly Documentary Stamp Tax Declaration/Return | Guidelines | ||
| 2000-OT | Documentary Stamp Tax Declaration/Return (One-Time Transactions) | Guidelines | ||
| 2110 | Application for Abatement or Cancellation of Tax, Penalties and/or Interest Under Rev. Reg. No. ______ | Excel (zip file) | ||
| 2200-A | Excise Tax Return for Alcohol Products | |||
| 2200-AN | Excise Tax Return for Automobiles and Non-Essential Goods | Excel (zip file) | ||
| 2200-C | Excise Tax Return for Cosmetic Procedures | |||
| 2200-M | Excise Tax Return for Mineral Products | Guidelines | ||
| 2200-P | Excise Tax Return for Petroleum Products | Excel (zip file) | ||
| 2200-S | Excise Tax Return for Sweetened Beverages | Guidelines | ||
| 2200-T | Excise Tax Return for Tobacco Products | |||
| 2304 | Certificate of Income Payment Not Subject to Withholding Tax (Excluding Compensation Income) | Excel (zip file) | ||
| 2306 | Certificate of Final Tax Withheld At Source | Excel | ||
| 2307 | Certificate of Creditable Tax Withheld at Source | Excel | ||
| 2316 | Certificate of Compensation Payment/Tax Withheld For Compensation Payment With or Without Tax Withheld | Excel | ||
| 2550M | Monthly Value-Added Tax Declaration | Excel (zip file) | ||
| 2550Q | Quarterly Value-Added Tax Return (Cumulative for 3 Months) | Excel (zip file) | Download Relief Data Entry & Validation Module ver. 2.0 | |
| 2551Q | Quarterly Percentage Tax Return | Guidelines | ||
| 2552 | Percentage Tax Return for Transactions Involving Shares of Stock Listed and Traded Through The Local Stock Exchange or Through Initial and/or Secondary Public Offering | Guidelines | ||
| 2553 | Return of Percentage Tax Payable Under Special Laws | Excel (zip file) | ||
| MEMBERSHIP | |||
| Request Slip - PDF Format | view | ||
| Request to Upgrade Membership Savings - PDF Format | view | ||
| Employer’s Change of Information Form (ECIF) - PDF Format | view | ||
| Employer’s Data Form (EDF) - PDF Format | view | ||
| Employer’s Virtual Pag-IBIG Enrollment Form - PDF Format | view | ||
| eSRS Employer Enrollment Form - PDF Format | view | ||
| Household Employer Unified Registration Form - PDF Format | view | ||
| Household Employment Unified Report Form - PDF Format | view | ||
| Instructions for Encoding of Member's Contribution Remittance Form - PDF Format | view | ||
| Kasambahay Unified Registration Form - PDF Format | view | ||
| Letter of Intent (Loyalty Card Partner-Bank) - PDF Format | view | ||
| Pag-IBIG Loyalty Card Plus Application Form - PDF Format | view | ||
| Loyalty Card Remittance Form - PDF Format | view | ||
| Loyalty Card Remittance Form (softcopy) - EXCEL Format | view | ||
| Reprinting Loyalty Card - PDF Format | view | ||
| Member’s Change of Information Form (MCIF) - PDF Format | view | ||
| Membership Savings Remittance Form (MSRF) - PDF Format | view | ||
| Membership Savings Remittance Form (Kasambahay) (MSRF) - PDF Format | view | ||
| Member’s Data Form (MDF) - PDF Format | view | ||
| Membership Registration Form (MRF) - PDF Format | view | ||
| Modified Pag-IBIG II Enrollment Form (MP2EF) - PDF Format | view | ||
| Application for the Release of MP2 Annual Dividends - PDF Format | view | ||
| Request for Loyalty Card Enrollment Kiosk - PDF Format | view | ||
| Request for Consolidation/Merging of Member's Records - PDF Format | view | ||
| Specimen Signature Form (SSF) - PDF Format | view | ||
| SHORT TERM LOAN | |||
| Application for Moratorium on STL Amortization Payments - PDF Format | view | ||
| Calamity Loan Application Form (CLAF) - PDF Format | view | ||
| Declaration of Income - PDF Format | view | ||
| Multi-Purpose Loan Application Form (MPLAF) - PDF Format | view | ||
| Email Format - Employer Confirmation of STL Application - PDF Format | view | ||
| Application for Refund of Excess/Overpayment of STL Amortization - PDF Format | view | ||
| STL Checklist of Requirements - PDF Format | view | ||
| Short Term Loan Remittance Form (STLRF) - PDF Format | view | ||
| Application for Penalty Condonation under R.A. 9679 - PDF Format | view | ||
| CLAIMS | |||
| Declaration of Guardianship - PDF Format | view | ||
| Application for Provident Benefits (APB) Claim - PDF Format | view | ||
| Application for Provident Benefits Claim (Release of Remaining Membership Savings) - PDF Format | view | ||
| Joint Affidavit of Two Disinterested Persons - PDF Format | view | ||
| Provident Benefits Claim Checklist of Requirements - PDF Format | view | ||
| Proof of Surviving Legal Heirs - PDF Format | view | ||
| Special Power of Attorney - PDF Format | view | ||
| Declaration of Intention to Depart from the Philippines Permanently - PDF Format | view | ||
| Waiver of Rights - PDF Format | view | ||
| ONLINE LOAN APPLICATION FORMS | |||
| GFAL Educational Loan - PDF Format | view | ||
| Computer Loan - PDF Format | view | ||
| Emergency Loan (Active Members) - PDF Format | view | ||
| Emergency Loan (Pensioners) - PDF Format | view | ||
| Enhanced Conso-Loan Plus - PDF Format | view | ||
| Pension Loan - PDF Format | view | ||
| Policy Loan (Optional) - PDF Format | view | ||
| Policy Loan (Compulsory) - PDF Format | view | ||
| APIR (ANNUAL PENSIONERS INFORMATION REVALIDATION) | |||
| Self-Declaration of Surviving Spouse (on Non-Marriage / Non-Cohabitation) – Fillable - PDF Format | view | ||
| G SIS PROGRAM FOR RESTRUCTURING AND REPAYMENT OF DEBTS (GSIS-PRRD) | |||
| Application Form - PDF Format | view | ||
| 2018 HOUSING CONDONATION PROGRAM | |||
| Application Form - PDF Format | view | ||
| RETIREMENT | |||
| Application for Retirement Under RA 660, RA 1616, PD 1146 and RA 8291 - PDF Format | view | ||
| Application for Disability Retirement (RA 660/RA 8291) - PDF Format | view | ||
| Application for Retirement Under RA 7699(Portability Law) - PDF Format | view | ||
| Declaration of Pendency / Non-Pendency of Case - PDF Format | view | ||
| CSV/MATURITY/DEATH(For Regular and Optional Policies) | |||
| Application for Life Insurance Benefit - PDF Format | view | ||
| Designation of Additional/Change of Beneficiary/ies for LEP Policy Holders - PDF Format | view | ||
| PENSION | |||
| Request for Pension Resumption - PDF Format | view | ||
| SURVIVORSHIP | |||
| Application for Survivorship - PDF Format | view | ||
| Affidavit of Surviving Heirs/Surviving Spouse/Guardian of Minor or Dependent Child/ren - PDF Format | view | ||
| DISABILITY | |||
| Disability Benefits - PDF Format | view | ||
| FUNERAL | |||
| Application for Funeral Benefit - PDF Format | view | ||
| OTHER COMMON TRANSACTIONS | |||
| Members Information Sheet (MIS) - PDF Format | view | ||
| * Designation of Additional / Change of Beneficiaries - PDF Format | view | ||
| * Members’ Request Form (MRF) - PDF Format | view | ||
| ** Request for GSIS Retirement Certification (For Availment of PhilHealth Benefits) - PDF Format | view | ||
| Check Alteration and Replacement Form (CARF) - PDF Format | view | ||
| GSIS UMID-eCard Enrollment Form - PDF Format | view | ||
| Authorization - PDF Format | view | ||
| UNEMPLOYMENT BENEFIT | |||
| Application for Unemployment Benefits Under RA 8291 - PDF Format | view | ||
| UNEMPLOYMENT BENEFIT | |||
| Application for Unemployment Benefits Under RA 8291 - PDF Format | view | ||
| PRE-NEED PLANS | |||
| GSIS Memorial Plan Release and Quit Claim Form - PDF Format | view | ||
| Application for Pre-Need Plans - PDF Format | view | ||
| LOANS | |||
| Enhanced Pension Loan - PDF Format | view | ||
| Multi-Purpose Loan (MPL) - PDF Format | view | ||
| GSIS Financial Assistance Loan (GFAL) – Top-Up Application Form - PDF Format | view | ||
| GSIS Financial Assistance Loan (GFAL) – Application Form (for DepEd Personnel) - PDF Format | view | ||
| GSIS Financial Assistance Loan (GFAL) – Statement of Account (for DepEd Personnel) - PDF Format | view | ||
| GSIS Financial Assistance Loan II (GFAL II) – Application Form - PDF Format | view | ||
| GSIS Financial Assistance Loan II (GFAL II) – Statement of Account - PDF Format | view | ||
| Enhanced Conso-Loan Plus - PDF Format | view | ||
| Policy Loan (Regular) - PDF Format | view | ||
| Policy Loan (Optional) - PDF Format | view | ||
| Emergency Loan (for Active Members) - PDF Format | view | ||
| Emergency Loan (for Pensioners) - PDF Format | view | ||
| GENERAL INSURANCE | |||
| Fire Insurance Program - PDF Format | view | ||
| Personal Accident Insurance Program - PDF Format | view | ||
| Auto Insurance Program - PDF Format | view | ||
| * MRI: Motor Vehicle - Excel Format | view | ||
| * Designation of additional/ Change of Beneficiaries (Group Personal Insurance) - Doc Format | view | ||
| BOND | |||
| * Authorization Letter - PDF Format | view | ||
| Bond Application Form - PDF Format | view | ||
| Bond Application Form (Individual/Single Proprietorship) - PDF Format | view | ||
| Checklist For Regular Bond Application - PDF Format | view | ||
| Checklist For Bond Application – For Travel/Recruitment/Manpower Agencies (DFA/BID Surety Bond) - PDF Format | view | ||
| Authorized Signatory - PDF Format | view | ||
| * Co-signer’s statement - PDF Format | view | ||
| Hull - PDF Format | view | ||
| * Aircraft - PDF Format | view | ||
| REINSURANCE BIDDING / ACCREDITATION | |||
| Airport Liability Application Form - PDF Format | view | ||
| Comprehensive General Liability Insurance - PDF Format | view | ||
| Directors and Officers Liability Insurance Application Form - PDF Format | view | ||
| Questionnaire and Proposal for Constructors’ All Risks Insurance - PDF Format | view | ||
| ** Eligibility Requirements for Accreditation - Doc Format | view | ||
| ** Application Letter - Doc Format | view | ||
| ** Application Form - Doc Format | view | ||
| ** Secretary’s Certificate - PDF Format | view | ||
| Property Insurance - PDF Format | view | ||
| * Certification of availability of funds - PDF Format | view | ||
| GSIS FREEDOM OF INFORMATION POLICY | |||
| Request Form - PDF Format | view | ||
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