Affidavit of Termination of Employment – Template for SSS Unemployment Benefit Application

When you are applying for the SSS Unemployment Benefit, you will be required to submit a Copy of Notice of Termination of Employment issued by the employer or Duly Notarized Affidavit of Termination of Employment, in the absence of Notice of Termination of Employment.

In case that the Notice of Termination of Employment from your employer is not available, you may use this template for the Affidavit of Termination of Employment that you need to print, sign and notarized.

Here is the template that you may copy and paste to your document. Add your details and print. Here is the downloadable PDF File of the Affidavit of Termination of Employment.

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________________, S.S.

AFFIDAVIT OF TERMINATION OF EMPLOYMENT

I, ________________________________, Filipino of legal age, single/married, with residence/postal address at ________________________,

After having been sworn in accordance with law, hereby depose and state that:

1. I am a bona fide member of the Social Security System (SSS) with assigned SSS Number _________________________;
2. I was an employee of ________________________________________________

With office address at ________________________ from _________ to _______;

• I was terminated from employment effective _______________ due to _________;
• I cannot secure a Notice of Termination from my employer; and
  5. I am executing this affidavit to attest the truth and veracity of the foregoing statements and to support my application for unemployment insurance or involuntary separation benefit.

IN WITNESS WHEREOF, I hereby set my hand and affix my signature this _______________ at __________________, Philippines.

AFFIANT

(Signature over Printed Name)

SUBSCRIBED AND SWORN to before me this ______________ at Affiant exhibiting to me his/her valid Government ID __________ issued on _______________ at _______________ and valid until ____________. ___

Doc. No.________;

Page No.________;

Book No.________;

Series of 20________;