Scribd
Upload
2K views2 pages

l501 Form

Uploaded by

jhong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
2K views2 pages

l501 Form

Uploaded by

jhong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines

SOCIAL SECURITY SYSTEM


SPECIMEN SIGNATURE CARD
SSS Form L - 501 (07-94)
Registered Employer Name (Print in full) I.D. No.

Address (Print in full) Tel. No.

Authority to certify or sign documents on all social security matters is hereby delegated to the following officials of the
company.
Printed Name Official Designation Initial Signature

Name and official capacity of person granting Date authority granted:


authority: (Please sign over printed name.)

Internet Edition (7/2000)

Cut along the dotted line.


Please read reminders on page 2 of this
form.

Republic of the Philippines


SOCIAL SECURITY SYSTEM
SPECIMEN SIGNATURE CARD
SSS Form L - 501 (07-94)
Registered Employer Name (Print in full) I.D. No.

Address (Print in full) Tel. No.

Authority to certify or sign documents on all social security matters is hereby delegated to the following officials of the
company.
Printed Name Official Designation Initial Signature

Name and official capacity of person granting Date authority granted:


authority: (Please sign over printed name.)

Internet Edition (7/2000)


IMPORTANT INFORMATION/INSTRUCTIONS
ABOUT YOUR SPECIMEN CARD

1. This form (SSS Form L-501) should be accomplished in


two
(2) copies by the responsible officials authorized by
the employer to certify and/or sign documents on the
Social Security System (SSS).

2. Any signature in the space for “Employer’s


Representative” in salary and calamity application
forms shall not be honored unless signatures appear in
this form and are filed with the SSS.

3. The SSS should be notified of any change/revocation


or addition in authorized representative through the
submission of a new specimen signature card to
replace or supplement that on file with the SSS.

4. The registered name, ID number and address of the


employer should be correctly indicated in this form.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy