GSIS Application Form – Retirement, Separation & Life Insurance Benefits

The GSIS Application Form (Form No. 06302017‑RET) is the official document used by members of the Government Service Insurance System (GSIS) to apply for retirement, separation, or life insurance benefits. This fillable PDF lets you complete the entire application from any device without printing or scanning.

What Is the GSIS Application Form?

This form collects personal data, employment history, and details about the type of benefit you are claiming. It is required for:

• Retirement benefits
• Separation benefits
• Life insurance benefits for eligible dependents

How to Complete the Form Online

Instead of downloading the PDF and using a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load the document in your browser, allowing you to type, check boxes, and sign electronically.

Common Mistakes to Avoid

• Leaving required fields blank – the filler will highlight missing information before you can submit.
• Using the wrong date format – GSIS requires DD/MM/YYYY.
• Submitting an unsigned form – add your digital signature in the designated area.
• Uploading an outdated version – always use the latest PDF linked on this page.

Where to Submit Your Completed Form

After you finish filling out the form, download the completed PDF and bring it to the nearest GSIS office, or email it to the address listed on the last page of the form. Keep a copy for your records.

Need help? Review the FAQ section below or contact your local GSIS branch.