Citizens Charter

The GSISCitizensCharter

1GSIS Citizens Charter

1. Filing of Compulsory and Optional Life Insurance Benefits - Maturity/Cash Surrender Value/Termination Value

2. Filing of Compulsory and Optional Life Insurance Benefits - Death and Accidental Death Benefits

3. Over-the-Counter (OTC) Loan Applications

4. Filing of Compulsory or Optional Retirement/Permanent Total Disability Retirement/Separation Benefits

5. Filing of Survivorship Benefit

6. UMID eCard Enrolment

7. UMID eCard Release

8. Creation of Pensioners Record

9. Updating of Pensioners Record

10. Releasing of Checks

11. Filing of Funeral Benefit

12. Check Replacement/Alteration

13. Filing of Pre-need Claims

14. Filing of Employees Compensation (EC) Claims under PD 626

Service Standards for Frontline Services

2 GSIS Citizens Charter

Filing of Compulsory and Optional Life Insurance Benefits (Maturity and Cash Surrender Value [CSV]; Termination Value [TV])

Schedule of Availability of Service:

Monday to Friday, 8:00 a.m. to 5:00 p.m. with no noon break

Eligible to Avail of the Service:

for Maturity Benefit

1. Active members with matured compulsory Life Endowment Policy (LEP) and/or

optional life insurance (OLI) policy.

for CSV/TV Benefit

1. Active members with compulsory LEP, Enhanced Life Policy (ELP) and/or OLI policy

who opted to resign, retire and separate due to disability.

2. Active members with OLI policy who opted to terminate his/her policy before

separation from service or maturity of the policy.

Documentary Requirements:

For Cash Surrender Value/Termination Value

1. Application for Retirement and Other Social Insurance Benet duly signed by member

and authorized endorsing ofcer of Agency; and

2. Certication of Last Day of Service.

Note: In the event of death prior to payment of benet, benet shall be payable to surviving

legal heirs. Documentary requirements for LEP policy shall apply.

For Maturity

1. Application for Retirement and Other Social Insurance Benet duly signed by member.

Note: In the event of death after maturity and prior to payment of benet, benet shall be

payable to surviving legal heirs. Documentary requirements for LEP policy shall apply.

Duration: 21 minutes


Step No. Applicant/Client Service ProviderDuration

of Activity

Person in Charge

Fees Form

1

Proceed to the Information Center and secure a queue number for ling the application and wait to be called.*

Provide the queue number.

1 minuteFrontline Staff Ofcer 1-3

None

Application form and documentary requirements indicated.

2

Present all documents for validation of requirements.

Ensure documents presented are complete.

5 minutesFrontline Staff Ofcer 1-3

None


3Secure tentative computation of the benet claim.

Log on to SAP Prod and access the tentative computation of benet using the BP number of the member.Print the tentative computation and provide a copy to the member. Explain the computation which may vary due to date of computation.


None None

4Secure acknowledgement receipt of led claim.

"Encode the claim in the Transaction Monitoring System (TMS). Access the TMS module and log in the user ID and password and create the transaction.

Provide the claimant a copy of the TMS reference code, in case of verication/follow-up of status. Inform the claimant that he/she will receive a text message or a call to pick up the check.

(Processing time is within 60 days upon receipt of complete requirements).

10 minutes

Frontline Staff Ofcer 1-3

None None

End of Transaction

* For Branch Ofces with no Information Center, the Ofcer of the Day performs the function.


Filing of Compulsory and Optional Life Insurance Benefits (Death and Accidental Death Benefits [ADB not applicable to ELP])




1. Designated/Surviving heirs of active members with compulsory and/or optional life

insurance policy who died while the policy is in force.

Documentary Requirements: for Life Endowment Policy (LEP)/Optional

1. Afdavit of Death Claim (Application Form);

2. Death Certicate of member issued by LCR/NSO;

3. Birth Certicate/s issued by LCR/NSO of designated beneciary/ies or two valid IDs

with date of birth and signature;

4. Marriage Contract of female beneciary/ies issued by LCR/NSO;

5. If with minor/incapacitated children, Afdavit of Guardianship;

6. If the legal guardian is not the natural parent, the afdavit should be supported by a

Certication from the Barangay and DSWD;

7. Police investigation report (if death is due to accident);

8. Notice of Accidental Death;

9. Last Day of Actual Service (LDAS); and

10. Two (2) valid IDs of payee/s.

for Enhanced Life Policy (ELP)

1. Afdavit of Death Claim (Application Form);

2. Death Certicate of member issued by LCR/NSO;

3. Afdavit of Surviving Legal Heirs stating among others that afants are the only

surviving legal heirs of the deceased member, their date of birth and relationship to

the deceased member and that they are executing the document for the purpose of

claiming the benet from GSIS;



Certication from the Barangay and DSWD;

6. If member is married, Marriage Contract issued by LCR/NSO;

7. Birth Certicate/s of legal heir/s issued by NSO;

8. Marriage Contract of female heir/s issued by LCR/NSO;

9. Last Day of Actual Service (LDAS); and




Step No. Applicant/Client Service ProviderDuration

of Activity

Person in Charge

Fees Form

1




None

Application for other social insurance benet claim form.

2



5 minutes


None



Log on to SAP Prod and access the tentative computation of benet using the BP number of the member. Print the tentative computation and provide a copy to the member. Explain the computation which may vary due to date of computation.

5 minutes


None None

4

Secure acknowledgement receipt of led claim.

"Encode the claim in the Transaction Monitoring System (TMS). Access the TMS module and log in the user ID and password and create the transaction.

Provide the claimant a copy of the TMS for the transaction reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a text message or a call to pick up the check. (Processing time is within 60 days upon receipt of complete requirements.)

10 minutes


None None

End of Transaction



Over-the-Counter (OTC) Loan Applications (Consolidated Loan, Emergency Loan, Educational Assistance Loan, Policy Loan [Regular/Optional], Pension Loan)




1. Active Members

1.1 with defective UMID eCard but with bank account

1.2 with Temporary eCard or eCard Plus

1.3 with lost eCard

2. Old Age Pensioners (for Pension Loan only)

2.1 with unreadable biometrics or defective eCard/UMID card

2.2 without Restructured Pensioners Loan (CLASP)

2.3 with fully paid loans

2.4 without outstanding Stock Purchase Loan (SPL)

2.5 with lost eCard


1. Duly accomplished loan application form;

2. E-card/UMID/Temporary Card (to be presented only); and

3. Receipt of request for eCard replacement from the bank. (for lost eCard)



Step No. Applicant/Client Service ProviderDuration of Activity

Person in Charge

Fees Form

1

Proceed to the Information Center, secure a queue number for ling the application.*



None None

2Proceed to the Over-the-Counter booth and wait to be called.

Assist member at the kiosk to ascertain that the card or biometrics is unreadable.

10 minutes


None None

Provide loan application form to the borrower.

None

Loan Application Form (Emergency Loan, Educational Assistance Loan, Policy Loan, Pension Loan)

3

Fill out a Loan Application Form and submit to the counter.

Ensure data in the loan application are complete. Indicate the reason for the unsuccessful attempts to transact at the kiosk in the application form. Provide tentative computation of loan proceeds.

15 minutes


None

Loan Application Form (Emergency Loan, Educational Assistance Loan, Policy Loan, Pension Loan)

4Sign tentative computation.

Inform the claimant that they will receive a text message once credited. (Processing time is within ve days after approval of the AAO for active members; within three days for pensioners.)


None None

5

Secure acknowledgement receipt.

Encode the loan application in the Transaction Monitoring System (TMS). Provide acknowledgement receipt to client.


None None

End of Transaction

*For Branch Ofces with no Information Center, the Ofcer of the Day performs the function.


Filing of Compulsory or Optional Retirement/Permanent Total Disability Retirement/Separation Benefits (RA 8291, RA 660, PD 1146 & RA 1616)




1. Active members who opted to resign, retire or separate under RA 8291, RA 660, RA

1616 and Portability; and

2. Inactive members who were separated from the service but did not avail of the

benets, provided the claim is led within the prescriptive period (for those who were

separated with less than 15 years of service).


Basic Requirements (for Compulsory, Optional, RA 1616, Disability and Portability)

1. Application for Retirement and Other Social Insurance Benet Claim; and

2. Ombudsman Clearance

Additional Requirements For Retirement (RA 1616)

1. Gratuity Computation from Agency; and

2. Approval of Agency Head

For Disability Retirement

1. Proofs of Disability - Parts I, II and III (Total and Permanent Disability Claim Form)

For Portability

1. Certication of SSS premium contributions indicating number and inclusive months

of contributions signed by authorized SSS Ofcer



Step No.

Applicant/Client Service ProviderDuration of Activity

Person in Charge

Fees Form

1


Provide the queue number. 1 minuteFrontline Staff Ofcer 1-3

None

Application for Retirement Benet Claim and Total and Permanent Disability Forms (Part 1 and 2 if applicable)

2Present all documents for validation of requirements.



None None


Log on to SAP Prod and access the tentative computation of benet using the BP number of the member. Print the tentative computation and provide a copy to the member. Explain the computation which may vary due to date of computation.


None None

4Secure acknowledgement receipt of led claim.

"Encode the claim in Transaction Monitoring System (TMS). Access the TMS module and log in the user ID and password and create the transaction. Provide the claimant a copy of the TMS reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a text or call to pick up the check. (Processing time is within 90 days upon receipt of complete requirements.)**


None None

End of Transaction


** As per Republic Act No. 10154, otherwise known as An Act Requiring All Government Agencies to Ensure the Early Release of the Retirement Pay, Pensions, Gratuities and Other Benets of Retiring Government Employees, retirement benets of retiring government employees shall be released to them within a period of thirty (30) days from the actual retirement date of the concerned employee. The employer-agency must, however, submit all requirements for purposes of retirement to the concerned agency at least ninety (90) days prior to the effectivity date of the retiree's retirement.


Filing of Survivorship Benefit



Eligible to Avail of the Service: Primary beneficiaries:

1. Legal spouse; and

2. Dependent legitimate, legally adopted or legitimated children, including illegitimate

children, who have not reached the age of majority, or, have reached the age of

majority but incapacitated and incapable of self-support due to a mental or physical

defect acquired prior to age of majority.

Secondary beneficiaries:

3. The dependents parents and, subject to the restrictions on dependents children, the

legitimate descendants.

Coverage

1. All primary and secondary beneciaries residing in the Philippines or abroad who are

existing survivorship pensioners or claiming for survivorship benet;

2. Those who were receiving survivorship benets but were suspended when the policy

on the same was amended and implemented in August 2009; and

3. Those who applied for survivorship benets but were disapproved due to the

issuance/approval of Management Implementing Guidelines (MIG) 01-2009 dated

October 22, 2009 that took effect as early as August 2009, and MIG 04-2010 dated

April 26, 2010.

Documentary Requirements: Basic Documents:

1. Application Form;

2. Ombudsman Clearance;

3. Death certicate of member/pensioner issued by the National Statistics Ofce (NSO);

4. Last Day of Actual Service; and

5. Two (2) valid IDs of payees.

If Married

1. Marriage certicate between the deceased and his/her spouse issued by NSO;

2. Afdavit of Surviving spouse;

3. If spouse is not a GSIS member, Birth Certicate issued by NSO;

4. Birth Certicate/s of minor/incapacitated children issued by NSO;

5. If with minor/incapacitated children, Afdavit of Guardianship; and


Certication from the Barangay and DSWD .


If Single



Certication from the Barangay and DSWD; and

3. If guardian is not a GSIS member, Birth Certicate issued by NSO.

If without primary beneficiary (with Parents)

1. Birth Certicate of member issued by NSO;

2. Marriage Contract of members parents issued by NSO; and

3. Birth Certicate of members parents issued by NSO if parents are not GSIS

members/pensioners.

If without primary beneficiary (without Parents; with Siblings)


2. Marriage Contract of members parents issued by NSO;

3. Death Certicates of members parents issued by NSO;

4. Birth Certicate of members parents issued by NSO;

5. Afdavit of Surviving Legal Heirs stating among others that afants are the only

surviving legal heirs of the deceased member, their date of birth and relationship to

the deceased member and that they are executing the document for the purpose of

claiming the benet from GSIS;

6. Birth Certicate of all the siblings of the deceased member issued by NSO;

7. Marriage Contract of all the female siblings of the deceased member issued by NSO;

and

8. If with deceased brother or sister, extra judicial settlement among the legal heirs of

the deceased brother / sister of the member designating one payee.

Additional Requirements for Muslim Members

1. Proof of Surviving legal heirs indicating all the wives and children

2. If only one (1) spouse is claiming: submit duly notarized afdavit that her husband has

no other marriages/wife

3. Court Order for Guardianship should be issued in the absence of parent for minor

children

4. Application for survivorship must be duly endorsed by the ofce and a certication

indicating the legal spouse/s and children/s of the deceased



Step No.

Applicant/Client Service ProviderDuration of Activity

Person in Charge

Fees Form

1

Proceed to the Information Center, secure a queue number for ling the application and wait to be called.*



None

Application for survivorship benet claim form.



14 minutes


None None

3Secure tentative computation of the benet

Log on to SAP Prod and access the tentative computation of benet using the BP number of the deceased member/pensioner.


None None

Print the tentative computation and provide the claimant a copy. And explain that the computation may vary because of the date of computation.


None None

4Secure acknowledgement receipt of led claim

"Encode the claim in Transaction Monitoring System (TMS). Access the TMS module and log in the user ID and password and create the transaction.


None None

End of Transaction



UMID eCard Enrolment




Active members and pensioners with created membership/pensioner record.


Two (2) valid government issued Identication Cards (IDs)


Step No.

Applicant/Client Service ProviderDuration

of Activity

Person in Charge

Fees Form

1Proceed to the UMID Enrolment Center.

None

2

Fill out the UMID Application Form and Bank Customer Information Record (CIR) for UBP and submit to the Enrollment Ofcer.

Verify the member's information based on accomplished UMID Application Form and IDs.

2 minutes

Enrollment Ofcer

None

UMID Application Form, Bank Customer Information Record (UBP)

3

Have the picture, signature and ngerprint biometrics taken by the Enrollment Ofcer

"Log-on the UMID Enrollment System and encode the necessary member's information based on the accomplished form.

Capture the members/pensioners photo, signature and ngerprint biometrics.

Ensure that the members/pensioners information, photo, and ngerprint biometrics are saved in the UMID Enrollment System.

8 minutes

Enrollment Ofcer

None None

4

Inform the member that he/she will receive a text message upon availability of UMID eCard or temporary eCard*, while for pensioners at the Head Ofce, direct them to proceed to the UMID Release Center.

2 minutes

Enrollment Ofcer

None None

End of Transaction

*Turn-around time for UMID Card Production for members with CRN and Temporary eCard for active members with no Common Reference Number (CRN) is 7 working days.


UMID eCard Release




Active members and pensioners with created membership/pensioner record.


Two (2) valid government issued Identication Cards (IDs)


Step No.


of Activity

Person in Charge

Fees Form

1

Upon receipt of SMS message informing the member that the card is ready for pick up, proceed to the UMID Release Counter.

None None

2Present your 2 valid government issued IDs.

Check the IDs presented and cross-reference against the list of available UMID Cards or Temporary eCards for release.

3 minutes

eCard Releasing Ofcer

None None

3

Locate the physical envelope of the UMID card or Temporary eCard of the member.

3 minutes


None None

4

Hand over the UMID card or Temporary eCard to the member and have the member sign and indicate the date on the transmittal list. Advise member to check readability of PIN mailer and the correctness of data printed on the card.

2 minutes


None None

5

Inform the member that his/her UMID eCard or Temporary eCard should be activated through the Kiosk or through manual activation by the Ofcer I or Manager.

2 minutes


None None

End of Transaction


Filing of Pre-need Claims




1. For Edu-Child, planholder with fully paid plan and whose plan matured and the

scholar enrolled.

2. For CEAP, Planholder with fully paid and matured policy.

3. For Memorial, planholder with fully paid account, and preferred to avail of the EOEM

4. For FHPP/HIP, planholder with active policy and updated premium payments

(processing of claim is until June 2013)

Documentary Requirements: A. Educhild

I. Availment of College Educaton Benefit (CEB)

For 1st time enrolees

1. Application Form ;

2. Edu-child Plan Agreement, in case of loss, Afdavit of Loss;

3. Certicate of Full Payment (CFP);

4. Conrmation of Enrollment/Registrtaion Form;

5. Course curriculum indicating the number of units and subjects to be taken

by the scholar;

6. Assessment/Schedule of Fees/Certicate of Matriculation; and

7. Ofcial Receipt of the Tuition and other standard school fees.

For succeeding availments


2. Conrmation of Enrollment/Registrtaion Form;

3. Assessment/Schedule of Fees/Certicate of Matriculation; and

4. Ofcial Receipt of the Tuition and other standard school fees.

II. Unavailed College Educational Benefit


2. Edu-child Plan Agreement, in case of loss, Afdavit of Loss; and

3. Certicate of Full Payment (CFP).

III. Unused Units/Retirement Benefit (10 years after graduation)


2. Transcript of Record (TOR); and

3. Diploma.


B. Memorial Plan

I. Enhanced Optional Exit Mechanism (EOEM)


2. Edu-child Plan Agreement, in case of loss, Afdavit of Loss;


4. Quit Claim Form; and

5. Two (2) valid IDs of planholder.

II. Death Claim


2. Death Certicate of planholder issued by NSO;

3. Memorila Plan Agreement, in case of loss, Afdavit of Loss;


5. Afdavit of Surviving Legal Heirs stating among others that afants are

the surviving legal heirs of the deceased member, their date of birth and

relationship to the deceased;

6. Birth Certicate/s issued by NSO or LCR of surviving legal heirs or two (2) valid

IDs with date of birth and picture, if claimant is not a GSIS member;

7. Marriage Contract of female legal heir/s issued by NSO;

8. If with minor/incapacitated child/ren, Afdavit of Guardianship;

9. If the legal guardian is not the natural parent, the afdavit should be supported

by certication from the barangay and DSWD; and


C. College Education Assurance Plan (CEAP)


2. Certicate of Coverage, in case of loss, Afdavit of Loss; and

3. Birth Certicate of Grantee/Scholar.

D. Family Hospotalization Plus Plan (FHPP) - Non-Availment Bonus

1. Application Form; and

2. Plan Agreement, in case of loss, Afdavit of Loss.


D. Family Hospitalization Plus Plan (FHPP) - Non-Availment Bonus


Step No.


of Activity

Person in Charge

Fees Form

1



1 minute


None

Application Form for Educhild/ Memorial/CEAP/FHPP/HIP

2



5 minutes


None

Application Form for Educhild/ Memorial/CEAP/FHPP/HIP


"Encode the claim in theTransaction Monitoring System (TMS).

Provide the claimant a copy of the TMS for the transaction reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a copy of the claim voucher to pick up the check. (Processing time is within 60 days upon receipt of complete requirements).

5 minutes


None None

End of Transaction



Creation of Pensioners Record




1. Retired members who are about to receive pension

2. Surviving spouse qualied to receive survivorship pension

3. Designated guardian of minor child/ren and/or incapacitated child/ren who are

qualied to receive dependents pension


1. Retirement/Survivorship Benet Voucher;

2. Application for Resumption of Pension;

3. Two (2) valid IDs (including E-Card); and

4. In case of guardians, Court Order and Barangay/DSWD Certication.



Procedure: For Branch/Extension Ofces

Step No.


of Activity

Person in Charge

Fees Form

1

Proceed to the GSIS Information Counter and get a queue number and Application for Resumption of Pension.*



None Application for Resumption of Pension

2

Fill out the Application for Resumption/Transfer of Pension and submit to servicing counter

Ensure documents presented are complete. Validate the data in the SAP system and the documents presented.

3 minutes



3Secure acknowledgement receipt of led request.

Encode the request in the Transaction Monitoring System (TMS). For those without eCard, inform the member that the GSIS will inform him/her to come back once the record has been created for UMID enrollment. (Processing time is within 15 working days).

8 minutes


None None

End of Transaction


Procedure: For Central Ofce (GSIS - Pasay)


Step No.


of Activity

Person in Charge

Fees Form

1Proceed to the Pensioners Lounge and get a queue number.

Provide the form for applicant to ll out.



2

Fill out the Application for Resumption/Transfer of Pension and submit to Service Counter.

Ensure documents presented are complete. Validate the data in the SAP system and the documents presented.

3 minutes



3Secure acknowledgement receipt of led request.

Encode the request in the Transaction Monitoring System (TMS). Inform the member to proceed to eCard enrolment unit (if no eCard).

6 minutes


None None

End of Transaction


Updating of Pensioners Record




1. Pensioners who have to update address, civil status and other personal data; and

2. Active member/pensioners who wanted to update his/her multiple status (active/old

age pensioner/survivorship pensioner/guardian).


1. Members Request Form (MRF); and

2. Documents to support the request (e.g. Marriage Contract/Decree for Nullity of

Marriage, if the request is to update civil status).

Duration: 7 minutes


Procedure: For Branch/Extension Ofces

Step No.

Applicant/ClientService Provider

Duration of Activity

Person in Charge

Fees Form

1

Proceed to the GSIS Information Center and get a Member's Request Form (MRF) and a queue number.*



None Member's Request Form (MRF)

2

Fill out the MRF and wait for the queing number to be called. Submit the MRF together with the supporting documents to the servicing ofcer





Encode the request in the Transaction Monitoring System (TMS).


None None

End of Transaction


Procedure: For Central Ofce (GSIS - Pasay)

Duration: 6 minutes

Step No.

Applicant/ClientService Provider

Duration of Activity

Person in Charge

Fees Form

1

Proceed to the Pensioners Lounge and get a queue number.

Provide the form for applicant to ll out.



2Present documents to the Service Counter.

Verify the pensioners information based on the documents presented



3

Log-on to SAP/EJAR and update SAP Record/Enrolment System.


None None

End of Transaction


Releasing of Checks




1. Payee of check; and

2. Duly authorized representative to claim check.


If payee

1. Check Delivery and Release Form (CDRF);

2. eCard/UMID card or two (2) valid government issued Identication Cards (IDs);

3. Photocopy of IDs presented; and

4. Quit Claim (for Enhanced Optional Exit Mechanism).

If authorized representative

1. Check Delivery and Release Form (CDRF);

2. Written authority signed by the payee designating his/her representative to receive

check in his/her behalf and certifying that the specimen signature appearing on the

authorization is that of his/her authorized representative or Special Power of Attorney

(SPA) issued by Philippine Consulate;

3. Two (2) valid government issued IDs with photo and signature of the payee and

photocopies of the same, if written authority is presented;

4. Two (2) valid government issued IDs with photo and signature of the representative

and photocopies of the same; and

5. Signed Quit Claim (for Enhanced Optional Exit Mechanism).



Step No. Applicant/Client Service ProviderDuration of

ActivityPerson in Charge

Fees Form

1

Proceed to the GSIS Information Center to get a queue number for the release of check.*

Check if client has the required documents: valid IDs and/or authorization letter. Give queue number and instruct to get copy of Check details.


None None

2

Proceed to Counter to get copy of Check details. Get and ll out Check Delivery and Release Form.

Print copy of Check details and give to client together with the Check Delivery Receipt Form


None Check Delivery and Release Form

3

Proceed to check releasing counter and present Check details.

Take Check details and advise member to wait until the name is called.


None Check Delivery and Release Form

4

Submit the Check Delivery and Release Form to the releasing ofcer together with the photocopy of IDs when name is called.

Check the lled out form for the completeness of data and authenticity of IDs/documents presented and identity of the claimant.


None None

5

Sign the release form to acknowledge release of check

Release the check. 1 minuteFrontline Staff Ofcer 1-3

None None

End of Transaction



Filing of Funeral Benefit




1. Surviving Spouse;

2. Any of the following persons who can present receipt/s of expenses, provided that

the surviving spouse, if still living, has acknowledged that this person shouldered the

funeral expenses:

a) Children of the deceased member or pensioner;

b) For single deceased member or pensioner, relatives up to second degree of

consanguinity; and

c) Any claimant other than children.


1. If claimant is the spouse

a. Death Certicate issued by the Local Civil Registrar (LCR) or NSO;

b. Marriage Contract of member issued by NSO;

c. Birth Certicate of spouse issued by the NSO or LCR or two (2) valid

government issued IDs with date of birth and picture if claimant is not a GSIS

member; and

d. Certication of Last Day of Actual Service (LDAS), if member died in active

service. 2. If claimant is other than the spouse

a. Afdavit of Funeral Expenses;

b. Death Certicate of member issued by the Local Civil Registrar (LCR) or NSO;

c. Death Certicate of spouse issued by the Local Civil Registrar (LCR) or NSO;

d. If legal spouse is living, duly notarized waiver of the legal spouse in favor of

the claimant;

e. Two (2) valid IDs of the legal spouse with signature;

f. If claimant is not a GSIS member, Birth Certicate of claimant issued by

the NSO/LCR or two (2) valid government issued IDs with date of birth and

signature;

g. Ofcial Receipt issued to the claimant; and

h. Certication of Last Day of Actual Service (LDAS), if member died in active

service.

Note:

1. Additional documents may be required by the Operating Unit Concerned (OUC) if

documents submitted have discrepancies (e.g. name, appellation)

2. Original documents should be submitted by the claimant. If photocopy, original

should be presented to the Frontline Staff for authentication.

3. Additional documents may be required by the OUC if with adverse claim.

Duration: 9 minutes




Fees Form

1




None None




None None


"Encode the claim in the Transaction Monitoring System (TMS).

Provide the claimant a copy of the TMS reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a copy of the claim voucher to pick up the check.

(Processing time is within 30 days upon receipt of complete requirements)."


None None

End of Transaction



Check Replacement/Alteration




1. Payee with stale check;

2. Payee with erroneous name appearing in the check; and

3. Heirs of payee who died before negotiating the check.


1. Stale/Erroneous Name of Payee/Lost

a. Application for Check Replacement/Alteration;

b. Physical Check, if released; and

c. Afdavit of Loss, if check is lost.

2. Replacement due to death of payee

* ALL CHECKS EXCEPT EDUCHILD/CEAP

a. Application for Check Replacement/Alteration;

b. Physical Check, if released;

c. Death Certicate of payee issued by NSO or LCR;

d. Afdavit of Surviving Legal Heirs stating among others that afants are

the surviving legal heirs of the deceased member, their date of birth and

relationship to the deceased;

e. Birth Certicate/s issued by NSO or LCR of surviving legal heirs or two (2) valid

IDs with date of birth and picture, if claimant is not a GSIS member;

f. Marriage Contract issued by NSO or LCR of married female heirs;

g. Afdavit of Guardianship for minor or incapacitated heir/s. If the guardian is

not the natural parent, the afdavit must be supported by a Certication from

the DSWD and Barangay that the child/ren is/are in his/her custody; and

h. Extrajudicial Settlement among the legal heirs designating one payee .

* FOR EDUCHILD/CEAP CHECKS

If scholar is of major age

a. Application Form;

b. Physical Check, if released; and

c. Death Certicate of payee issued by NSO or LCR.

If scholar is minor

a. Application Form;

b. Physical Check, if released;

c. Death Certicate of payee issued by NSO or LCR;

d. Afdavit of Guardianship; and

e. If the legal guardian is not the natural parent, the afdavit should be supported

by certication from the barangay and DSWD.

Duration: 9 minutes




Fees Form

1



1 minuteFrontline

Staff Ofcer 1-3

NoneApplication Form for check replacement



3 minutesFrontline

Staff Ofcer 1-3

NoneApplication Form for check replacement


Encode the claim in theTransaction Monitoring System (TMS). Provide the claimant a copy of the TMS for the transaction reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a copy of the claim voucher to pick up the check. (Processing time is within 60 days upon receipt of complete requirements).

5 minutesFrontline

Staff Ofcer 1-3

None None

End of Transaction



Filing of Employees Compensation (EC) Claims under PD 626




1. Employee in the public sector who sustained illness or injury considered as work-

related.

2. Beneciary/ies of an employee in the public sector who died and the cause of death

is work-related.

3. Employee who is entitled to pension and/or medical reimbursement under PD 626.


A. Sickness Income Benefit (SIB) Claim

1. Income Benet Claim for Payment, Parts I and II;

2. Hospitalization Claim for Payment, Parts I, II and III;

3. Service Record if claimant is uniformed personnel of AFP, PNP, BJMP and

BFP;

4. Hospital/Clinical records of connement/consultation due to claimed ailment;

5. Certication from agency re: Leave of absences with and without pay;

6. Chest X-ray Film with result, if any;

7. ECG Tracing and result, if any;

8. Statement of accounts with itemized list and cost of all charges from the

hospital; and

9. EC Reimbursement Form with ofcial receipts of all hospital/medical expenses

(original with signature of claimant at the back of the ORs).

B. Claim caused by Injury/Accident

1. Income Benet Claim for Payment, Parts I and II;

2. Hospitalization Claim for Payment, Parts I, II and III;

3. Service Record if claimant is uniformed personnel of AFP, PNP, BJMP and

BFP;

4. Hospital/Clinical records of connement/consultation due to claimed ailment;

5. Certication from agency re: Leave of absences with and without pay;

6. Certication under oath by Head of Ofce stating the time, place, date,

reasons/purposes for being at the place of accident and circumstances

surrounding the accident/incident;

7. Afdavit of witnesses to the accident/incident;

8. Time Card/Record of Attendance (original or certied copy);

9. Police Accident/Investigation Report (original or certied copy);

10. Travel/Mission Order/Personnel Pass (original or certied copy);

11. Casualty Report/After Battle Report/Line of Duty Board Proceedings for AFP

members; and

12. NAPOLCOM Adjudication Award for PNP members.


C. Death (in active service)

i. With primary beneciary/ies

1. Death Certicate of member issued by NSO;

2. Marriage Contract of member issued by NSO;

3. Birth Certicate of member for uniformed of AFP, PNP, BFP and BJMP

issued by NSO;

4. Birth Certicate of legitimate minor/incapacitated children, 21 years old and

below issued by NSO;

5. Birth Certicate of spouse issued by NSO, if claimant is not GSIS member;

6. Afdavit of Surviving Spouse;

7. Afdavit of Guardianship; and

- If cause of death is sickness, refer to A

- If cause of death is injury/accident, refer to B.

ii. Secondary (parents and illegitimate children)

1. Death Certicate of member issued by NSO;

2. Marriage Contract of parents issued by NSO;


4. Birth Certicate of parents and illegitimate minor children 21 years old and

below issued by NSO (incl born 1945);

5. Afdavit of parents that member died single with or without illegitimate

children and that they are wholly dependent from deceased for support;

6. Afdavit of Guardianship; and

- If cause of death is sickness, refer to A

- If cause of death is injury/accident, refer to B.

D. Death of a Permanent Total Disability (PTD) Pensioner

- Death Certicate issued by NSO

Notes:

a) Other documents may be required by the Medical/Legal Evaluator to determine

compensability of claim

b) Additional documents may be required by the OUC if documents submitted are with

discrepancies (e.g. name, appellation)

c) Original documents should be submitted by the member/claimant, if photocopy,

original should be presented to the Frontline Staff for authentication except medical

records which may be authenticated by the authorized ofcial of the concerned

hospital

d) Additional documents may be required by the OUC if with adverse claim

e) For approved Permanent Total Disability pensioners, a Medical Progress Report

should be submitted yearly

f) If member dies while claim is being processed, additional death requirements shall be

required by the OUC





Fees Form

1




NonePrescribed Forms under PD 626

2




NonePrescribed Forms under PD 626


"Encode the claim in the Transaction Monitoring System (TMS).

Provide the claimant a copy of the TMS for the transaction reference code (in case of verication/follow-up of status). Inform the claimant that he/she will receive a copy of the claim voucher to pick up the check.(Processing time is within 60 days upon receipt of complete requirements).


None None

End of Transaction


Citizens Charter

Documents

Transcript of Citizens Charter