REQUEST FOR AMENDMENT OF SSS WEB EMPLOYER PROFILE

To: The Member Electronic Services Department

Social Security System
Email: onlineserviceassistance@sss.gov.ph

From:

Employer Number: ______________________________________________________________

Employer Name: ______________________________________________________________

Business Address: ______________________________________________________________

Email Address: ______________________________________________________________

This is to request for the change of the following Employer Profile information in our SSS
Website Profile:

OLD NEW

Change of Company Email Address ____________________ ____________________

Change of Authorized Signatory ____________________ ____________________

Changed of Authorized Signatory’s ____________________ ____________________

Email Address

Please indicate your reason for the requested change/s:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Thank you!

____________________________ _____________________________
Signature over printed name Signature over printed name
of the Authorized Signatory of the Person Granting Authority
in Form L-501 in Form L-501

Date Signed: Date Signed:

Position Title: Position Title:
SS Number: SS Number:
Contact Number: Contact Number:
Email Address: Email Address:

(Kindly attach the scanned copies of the SS ID/ UMID Card or any 2 Valid IDs of the Person Grating Authority/
Authorized Signatory.)