The Authorization Letter for PhilHealth is a legal document for someone you authorized to request an update or release any information about your PhilHealth member status. This letter allows you to order and process your records without your appearance.
Make sure you attached all your details of the PhilHealth account, such as your name, complete address, when you became a member of PhilHealth, PhilHealth number, bearer’s name, and your valid request. This letter requires you to attach your two valid IDs and specimen signature.
AUTHORIZATION LETTER FOR PHILHEALTH
REQUIREMENTS
OWNER:
- Original Valid IDs. with Photocopy.
- Signed Authorization Letter.
AUTHORIZED REPRESENTATIVE:
- Original valid IDs with a photocopy for the representative.
- Black Pen
SAMPLE
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July 25, 2020 Mrs. Julian M. Domingo Finance Head G/F Jomel Bldg III, P. Acosta St., cor. D. Samonte St., Brgy 14, Laoag City, Ilocos Norte Dear Mrs. Domingo, I am Jessica A. Peñaflor, a resident of D. Samonte St., Laoag City, Ilocos Norte, a member of PhilHealth since May 16, 1998. I hereby authorize the processing and releasing of my PhilHealth member information update with the PhilHealth number 190001874512 to Mr. Ronaldo A. Peñaflor. I need it to secure my records at TCA Asia – C.A. Chabby Enterprises and change important information after updating it last September 2, 2002. I am requesting your utmost cooperation and assistance in this issue. Thank you so much, and More Power. Sincerely yours, -signature- Jessica A. Peñaflor |
FORMAT
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[DATE] [NAME OF RECIPIENT] [POSITION] [ADDRESS] Dear Ms./Mrs./Mr. [NAME OF RECIPIENT], I am [YOUR NAME], a resident of [YOUR ADDRESS], a member of PhilHealth since [DATE WHEN YOU BECAME A MEMBER]. I hereby authorize the processing and releasing of my PhilHealth member information update with the PhilHealth number [XX-XXXX] to Ms./Mrs./Mr. [NAME OF THE AUTHORIZED PERSON]. I need it to secure my records at [WHAT AGENCY OR COMPANY NEED YOUR MEMBER INFO UPDATE] and change important information after updating it last [DATE OF YOUR LAST UPDATE]. I am requesting your utmost cooperation and assistance in this issue. Thank you so much, and More Power. Sincerely yours, [SIGNATURE] [YOUR NAME] |