[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-200745-105":53,"doc-detail-200745-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","waiver-of-claim-for-funeral-expenses-funeral-benefit-program","WAIVER OF CLAIM FOR FUNERAL EXPENSES - Funeral Benefit Program","","Waiver of Claim for Funeral Expenses—Funeral Benefit Program form for the Republic of the Philippines. It records the surviving legal spouse and the deceased SSS member/pensioner details, including names, addresses, SS Number/CRN, and date and place of death. The signer waives, renounces, and relinquishes in favor of the claimant the full amount of qualifying funeral expenses submitted in connection with an SSS funeral benefit claim application. The document includes an itemized expense table, signatures, and notary acknowledgement.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/waiver-of-claim-for-funeral-expenses-funeral-benefit-program/200745/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/waiver-of-claim-for-funeral-expenses-funeral-benefit-program/200745.png","ImageObject",442,249,{"name":88,"@type":89},"Himbo","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-28","2026-09-04",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",19,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who must sign the Waiver of Claim for Funeral Expenses form?","Question",{"text":109,"@type":110},"The form is signed by the surviving legal spouse of the deceased SSS member/pensioner, with the signature over the printed name.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information about the deceased SSS member/pensioner is required?",{"text":114,"@type":110},"It requires the deceased member/pensioner’s name, SS Number or Common Reference Number (CRN), and the date and place of death, along with related address details.",{"name":116,"@type":107,"acceptedAnswer":117},"How are funeral expenses reported on the form?",{"text":118,"@type":110},"Funeral expenses are itemized in a table by category (e.g., embalming, burial transfer permits, funeral services, cremation or interment, coffin, niche/cemetery/memorial lot, and memorial/funeral insurance plan) with amounts in figures and words, followed by a total.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},200745,1788511934,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":9},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","RET-01926 (03-2024)  \nREPUBLIC OF THE PHILIPPINES )  \nCity/Municipality of   ) S.S.  \nProvince of _____________________)  \nWAIVER OF CLAIM FOR FUNERAL EXPENSES  \nFuneral Benefit Program  \nI,   , of legal age, and a resident of (NAME OF SURVIVING LEGAL SPOUSE)  \n  , surviving legal spouse of the (HOME ADDRESS OF SURVIVING LEGAL SPOUSE)  \ndeceased Social Security System (SSS) member    \n(NAME OF DECEASED MEMBER/PENSIONER)  \nwith SS Number or Common Reference Number (CRN)   who died on  \n(SS NUMBER OR CRN OF DECEASED  \nMEMBER/PENSIONER)  \n  at   hereby (DATE OF DEATH OF DECEASED (ADDRESS OF PLACE OF DEATH OF DECEASED MEMBER/PENSIONER)  \nMEMBER/PENSIONER)  \nwaive, renounce, and relinquish in favor of   ,  \n(NAME OF CLAIMANT)  \nknown to me to be the   of the deceased SSS member, the full and total  \n(RELATIONSHIP OF CLAIMANT TO THE  \nDECEASED MEMBER/PENSIONER)  \namount of the following funeral expenses incurred for the deceased SSS member, in connection with the funeral benefit claim application that he/she filed with the SSS:  \n\n| EXPENSES | AMOUNT |  |\n| --- | --- | --- |\n|  | IN WORDS | IN FIGURES |\n| a. Embalming services |  | Php |\n| b. Burial transfer services and permits |  |  |\n| c. Funeral services for the dead including church service fee or its equivalent if from other religions |  |  |\n| d. Cremation or interment |  |  |\n| services |  |  |\n| e. Purchase or rent of coffin |  |  |\n| f. Purchase or rent of niche/cemetery/ memorial lot/columbarium |  |  |\n| g. Payment for memorial/ funeral insurance plan |  |  |\n| TOTAL |  | Php |\n\n___________________________________  \nSignature over Printed Name of Surviving Legal Spouse  \n___________________________________ ___________________________________  \nSignature over Printed Name of Witness Signature over Printed Name of Witness  \nSUBSCRIBED AND SWORN to before me this   day of   , 20  , at   , Philippines, affiant having exhibited to me his/her valid government issued identification card   with no.   bearing his/her picture and signature as competent evidence of his/her identity, known to me and to me known to be the same person who executed the foregoing instrument and he/she acknowledged to me that the same is his/her free and voluntary act and deed.  \nWITNESS MY HAND AND SEAL, on the date/place first above-written.  \nNotary Public  \nDoc. No. :    \nPage No. :    \nBook No. :    \nSeries of :","cbCaifFZW95WKuLE","https://ap.wps.com/l/cbCaifFZW95WKuLE","pdf",41615,"English","# Waiver of Claim for Funeral Expenses\n## Funeral Benefit Program Details\n## Itemized Funeral Expenses\n## Signatures and Notary Acknowledgement","[{\"question\":\"Who must sign the Waiver of Claim for Funeral Expenses form?\",\"answer\":\"The form is signed by the surviving legal spouse of the deceased SSS member/pensioner, with the signature over the printed name.\"},{\"question\":\"What information about the deceased SSS member/pensioner is required?\",\"answer\":\"It requires the deceased member/pensioner’s name, SS Number or Common Reference Number (CRN), and the date and place of death, along with related address details.\"},{\"question\":\"How are funeral expenses reported on the form?\",\"answer\":\"Funeral expenses are itemized in a table by category (e.g., embalming, burial transfer permits, funeral services, cremation or interment, coffin, niche/cemetery/memorial lot, and memorial/funeral insurance plan) with amounts in figures and words, followed by a total.\"}]","WAIVER OF CLAIM FOR FUNERAL EXPENSES - Funeral Benefit Program | PDF"]