EMPLOYEE SICKNESS CLAIMS DETAILS

ER ID Number 08-0946556-1
Employer Name KIANTIG SERVICES MULTI PURPOSE
Address PUROK 2 SAN JOSE QUEZON , BUKIDNON 8715

 Employer Information
o Employer DetailsOther BranchesLoan DelinquencySSS Servicing BranchPayment History
o R5 PaymentsR3 TotalsR3-R5 ReconciliationCash Col Posted PaymentsPayment Ref Number
(PRN)Sickness/Maternity
o Payee HistoryClaim HistoryMEDVS HistoryShort Term Loan
o Billing/Collection ListLoan Payments
EMPLOYEE SICKNESS CLAIMS DETAILS

SS Number : 08-2415971-3
Name : LAGOS, ELEANOR CONTENIDO
Date of Birth : 06-08-1969
Date of Coverage : 09-2013

SS SICKNESS CLAIM INFORMATION

Date Filed: 11-28-2018
Date Encoded: 12-04-2018
Encoder's Id:
Processing Branch: H0 - CAGAYAN DE ORO
Filing Branch: H6 - VALENCIA
Claim Type: SS SICKNESS ( INITIAL )
Cycle No.: 18210
Batch No./Item No.: H61530 - 07
Total Monthly Salary 37,000.00
Credit(TMSC):
Payee Number: 08-0946556-1
Payee Name: KIANTIG SERVICES MULTI PURPOSE
Address: PUROK 2 SAN JOSE QUEZON BUKIDNON 8715
Amount Paid: 16,650.00
Check Number: 20181205A
Remitted to: LAND BANK OF THE PHILIPPINES - MARAMAG
Date:
Confinement Period: 10-01-2018 to 12-29-2018 = 90 days
Remarks: SETTLED CLAIM
 Benefit Computation Employer SSS
Start Date 10-01-2018 10-01-2018
End Date 12-29-2018 12-29-2018
Average Daily Allowance 185.00 185.00
Amount Due 16,650.00 16,650.00

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