INSERT YOUR ORGANIZATION’S LOGO HERE

17 MAY 2023

CERTIFICATION OF SEPARATION AND

NON-ADVANCEMENT OF SSS MATERNITY BENEFIT – *Name of Staff*

TO WHOM THIS MAY CONCERN:

This is to certify that *Name of Staff* has been a regular employee of *Name of Organization*
since 15 February 2022.

Her position was *insert job title* stationed in *insert duty location* and some of her main
duties are *insert summary of staff’s job description here*.

She had properly separated and ended her contract with our organization last 31 October
2022. *Name of Staff* did not receive any advance payment for her SSS Maternity Benefit from
February 2022 until present from this company.

*Name of Organization* is registered in the Philippines through the Securities and Exchange
Commission (SEC) in Manila as a *branch/main/representative office* *insert what organization
does and its purpose*

This certification is issued to *Name of Staff* this 17th day of May 2023 for the purpose of
complying with the documentary requirements of the SSS for her maternity benefit claim.

Sincerely yours,

*NAME OF HEAD OF ORGANIZATION*

*Position*
Email:
On Behalf of *Name of Organization*