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  • Social Benefit Claim Form - 0

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    Florinie Fermin Abregunda
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    The document is a social fund benefit claim form from the Philippine Institute of Certified Public Accountants (PICPA). It requests information about a deceased member such as their name, PRC registration number, chapter, membership status, cause of death, and beneficiary details. It lists the requirements to support a claim, which include documentation of the member's identity, death, relationship to beneficiary, and certification that the deceased met membership requirements. The form notes that the chapter must initiate the death benefit claim to the National Office within 60 days of the member's death.

    Original Description:

    Board of Accountancy Social Benefit Claim Form 0

    Original Title

    Social Benefit Claim Form_0

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    The document is a social fund benefit claim form from the Philippine Institute of Certified Public Accountants (PICPA). It requests information about a deceased member such as their name, PRC registration number, chapter, membership status, cause of death, and beneficiary details. It lists the requirements to support a claim, which include documentation of the member's identity, death, relationship to beneficiary, and certification that the deceased met membership requirements. The form notes that the chapter must initiate the death benefit claim to the National Office within 60 days of the member's death.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Social Benefit Claim Form - 0

    Uploaded by

    Florinie Fermin Abregunda
    The document is a social fund benefit claim form from the Philippine Institute of Certified Public Accountants (PICPA). It requests information about a deceased member such as their name, PRC registration number, chapter, membership status, cause of death, and beneficiary details. It lists the requirements to support a claim, which include documentation of the member's identity, death, relationship to beneficiary, and certification that the deceased met membership requirements. The form notes that the chapter must initiate the death benefit claim to the National Office within 60 days of the member's death.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PHILIPPINE INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS

    PICPA Building, 700 Shaw Boulevard


    Mandaluyong City

    SOCIAL FUND BENEFIT CLAIM FORM


    Date: ______________________

    Name of Member: ___________________________________________________________


    PRC Reg. No.: ______________________

    Chapter: _____________________________

    Membership Status: __________________

    Contact No. __________________________

    Cause of Death: ____________________________________________________________


    Beneficiary:
    Full Name: ________________________________________________________________
    Relation: ____________________________

    Birthday: ____________________________

    REQUIREMENTS:
    Photocopy of latest PICPA/SLM ID or receipt of latest payment of membership dues
    Certified True Copy of Death Certificate
    Birth Certificate of Insured NSO copy
    Marriage Contract, if beneficiary is spouse NSO copy
    Birth Certificate of Claimant, if beneficiary is a child/sibling NSO copy
    Certification from the Chapter President/Secretary/Treasurer that the deceased
    member has met all the requirements
    The Chapter shall initiate the filling of the death benefit in behalf of the deceased member
    with the National Office immediately within 60 days after the death of the member.

    Submitted by:

    ______________________________
    Name & Signature of Chapter Officer

    FOR OFFICIAL USE ONLY:


    DATE OF RECORDING IN THE MEMBERSHIP RECORD: _________________
    PERSON RECORDING THE ENTRY: __________________________________

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