If you are filing for SSS Funeral Benefit of your relative or helping a friend, the Affidavit of Funeral Expense is needed to enumerate expenses made in the Funeral of the diseased SSS Member. Here, we created a template you can copy or You may also download this Word File Affidavit of Funeral Expense Template, Fill in your information then print.
REPUBLIC OF THE PHILIPPINES ) : S.S.______________________)
AFFIDAVIT OF FUNERAL EXPENSES
I, JUANA DELA CRUZ, of legal age, married, Filipino with residence and postal address at _____________________________________________, after being duly sworn to in accordance with law, hereby depose and state:
1. That I know the fact of death of the deceased, ______________, who died at _________ on ______________ because _____________;
2. That during the wake, I actually paid the following expenses to wit:
TOTAL = P________
3. That I am executing this affidavit to attest to the truth of the foregoing statements and for the purpose of filing Funeral Expense Reimbursement claim from _______________________.
FURTHER, affiant sayeth none.
SUBSCRIBED AND SWORN TO before me this ____ day of _________ at ______________, Philippines, affiant having exhibited to me her Residence Certificate No. ______________ issued at _____________ on _________________.
Doc. No ________ Until Dec. 31, 20 ________
Page No. _______ PTR no. _______________
Book No. _______ Issued at ______________