CERTIFICATION OF NON-ADVANCEMENT OF

SICKNESS REIMBURSEMENT APPLICATION

This is to certify that ______________, who has been employed by the
company, ________________ (the Company), with an office address at
_______________, from _______ to _______.
On ________, she was hospitalized due to sickness requiring her to be
on leave of absence from ______________.
On 26 January 2015, the Company received her Social Security System
(SSS) application for sickness benefit. On 30 January 2015, SSS received her
SSS Sickness benefit application which was approved by the SSS on 9
February 2015.
The company did not advance to her SSS Sickness benefit arising from
her sickness or confinement in view of the foregoing circumstances relevant
to her employment with the Company and her application for SSS Sickness
benefit.
This is issued upon her request for the processing of her Sickness
Reimbursement claim with the SSS.

For and on behalf of

xxxxxxxxxxxxxxxx

yyyyyyyyyyyyyyyyyyy
Manager