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FILING A CLAIM WITH THE GOVERNMENT SERVICE INSURANCE SYSTEM  (GSIS)

     Where to File a claim

For a complete list of GSIS Branches, click GSIS Directory.

    Requirements in filling EC claims thru the GSIS

 For Sickness:

  1. Proof or documentary evidence that illness was work-connected;
  2. If hospitalized:

a. Period of confinement;
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  3. Date of return to work certified by Head of Office;
  4. Statement of actual duties certified by employer (when contingency happened);
  5. Monthly/Quarterly physician's report of the case; and
  6. Service record certified by employer, indicating all salary increases and their effective dates.

  For Injury:

  1. Service record certified by employer, indicating all salary increases and their effective dates.
  2. If hospitalized:

a. Period of confinement;
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  3. Date of return to work certified by Head of Office;
  4. Travel order certified by Head of Office, if contingency occurred  outside office premises;
  5. Police/Casualty/Accident report certified by Head of Office; and
  6. Certification under oath by Head of Office as to circumstances  surrounding accident, indicating time, place and
      date of accident, what employee was doing at the time of accident, and reason or  purpose of being there.

  For Death due to sickness:

  A. Where claimants are primary beneficiaries:

  1. Proof that illness contracted was work-connected;
  2. If hospitalized:

a. Period of confinement;
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  3. Statement of actual duties certified by employer;
  4. Original or certified true copy signed by the local Civil Registrar of:

a. Death certificate;
b. Marriage contract; and
c. Birth certificates of minor children;

  5. Service record of deceased certified by employer, indicating all salary increases and their effective dates.

  B. Where claimants are secondary beneficiaries:

  1. Proof that illness contracted was work-connected;
  2. If hospitalized:

a. Period of confinement;
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  3. Statement of actual duties certified by employer;
  4. Original or certified true copy signed by the local Civil Registrar  of:

a. Birth and death certificates of deceased employee;
b. Death certificate of deceased parent, if any one of them is dead; and
c. Marriage contract of deceased's parents;

  5. Affidavit by parents that deceased died single and left no other beneficiaries and that parents
      were wholly dependent upon  deceased for support; and
  6. Service record of deceased, indicating all salary increases and  their effective dates.

  For Death due to injury:

  A. Where claimants are primary beneficiaries:

  1. Service record of deceased, indicating all salary increases and their effective dates.
  2. Statement of actual duties certified by employer;
  3. If hospitalized:

a. Period of confinement
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  4. Original or certified true copy signed by the local Civil Registrar  of:

a. Death certificate;
b. Marriage contract; and
c. Birth certificates of children below 21 years old;

  5. Police/Casualty/Accident report;
  6. Travel order if accident occurred outside office premises; and
  7. Certification under oath by Head of Office as to circumstances surrounding accident.

  B. Where claimants are secondary beneficiaries:

  1. Service record of deceased, indicating all salary increases and their effective dates.
  2. Statement of duties of employee certified by employer;
  3. If hospitalized:

a. Period of confinement
b. Itemized list and cost of medicines and supplies;
c. Copy of total hospital bill; and
d. Original copies of drugstore receipts, if any;

  4. Original or certified true copy signed by the local Civil Registrar  of:

a. Birth and death certificates of deceased employee;
b. Death certificate of deceased parent, if any one of them is dead; and
c. Marriage contract of parents;

  5. Affidavit by parents that deceased died single and left no other  beneficiaries and that parents
     were wholly dependent upon  deceased for support; and
  6. Police/Casualty/Accident report
  7. Travel order if contingency occurred outside office premises; and 
  8. Certification under oath by Head of Office as to circumstances  surrounding accident, indicating time,
     place and date of accident,  what employee was doing at time of accident, and reason or  purpose for being there. Go top

    GSIS Requirements for Hospitalization Claims Made by Hospitals and Physicians: