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Member Data Change Request

Issued by Social Security System4 pagesOfficial .gov.ph source

Fill this form

Type your details once and get the SSS form back as a PDF, ready to print and sign. Filling happens on PhilForms, the service this list is built from.

Where this form comes from

The blank form was taken from a SSS website on the .gov.ph domain, so the copy you fill is the agency’s own.

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sss.gov.ph
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Guide to this form

Just married: change your name and civil status with SSS, PhilHealth, Pag-IBIG and BIR
After the wedding — update SSS, PhilHealth, Pag-IBIG and BIR with your married name or civil status, in order, with the one document all four ask for.
Read the full guide · updated October 11, 2026

Moved house: update your address with SSS, PhilHealth, Pag-IBIG and BIR
You moved — update your address with SSS (E-4), PhilHealth (PMRF), Pag-IBIG and BIR (1905), including the transfer to a new RDO when your address changes city.
Read the full guide · updated October 12, 2026

SSS E-4: how to change or correct your member data
How to fill the SSS E-4 Member Data Change Request: what it changes, the documents each change needs, what is online or at a branch, and common errors.
Read the full guide · updated October 16, 2026