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Household Employer Unified Registration Form (PPS-HEUR1)

Issued by Philippine Health Insurance Corporation1 pageOfficial .gov.ph source

For you, the household employer: register once with SSS, PhilHealth and Pag-IBIG under the Batas Kasambahay (R.A. 10361).

Fill this form

Type your details once and get the PhilHealth form back as a PDF, ready to print and sign. Filling happens on PhilForms, the service this list is built from.

Where this form comes from

The blank form was taken from a PhilHealth website on the .gov.ph domain, so the copy you fill is the agency’s own.

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philhealth.gov.ph
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Guide to this form

Registering a kasambahay with SSS, PhilHealth and Pag-IBIG
Register yourself as a household employer and enrol your kasambahay with SSS, PhilHealth and Pag-IBIG: the unified forms, who pays, monthly remittance.
Read the full guide · updated October 12, 2026