The Authorization Letter for PhilHealth is a legal document for someone you have authorized to request an update or reveal any details about your status as a member of PhilHealth. You may request and process your documents with this letter without your presence.
Make sure that you have attached all of your PhilHealth account information, such as your name, complete address, when you become a PhilHealth member, PhilHealth number, bearer name, and valid request. In this letter, you must attach your two valid IDs and the signature of the specimen.
Sample Authorization Letter for PhilHealth
July 25, 2016
Mr. James C. Santos
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 Marie D. Santos a resident of D. Samonte St., Laoag City, Ilocos Norte, a member of PhilHealth since May 16, 1998, and I hereby authorize the processing and releasing of my PhilHealth member information update with the PhilHealth number 12345678910 to Mr. Christian D. Santos. I am needing it to secure my personal 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-
Marie D. Santos
Authorization Letter for PhilHealth Format
[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], and 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 am needing it to secure my personal 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]Disclaimer: All the characters in this article are fictional. We discourage all the users to provide their own details in this letter. Remember that this is just a guide for creating your own authorization letters.
PhilHealth Member Data Amendment due to Legal Separation or Marriage Annulled
Take Note: The Marriage should be annulled and this shall fall under the change of civil status category. Moreover, you must submit the following documents:
- Original or Certified True Copy of annulment papers
- Duly accomplished PhilHealth Member Registration Form (PMRF) – You can download the form here at www.philhealth.gov.ph/downloads/membership/pmrf.pdf
- Letter of Request for PhilHealth Member Data Amendment due to Legal Separation or Marriage Annulled
A sample format of the letter would be:
From:
Type your name here
Type your address
Type your PhilHealth ID Number
To:
Type your Addressee`s Name (PhilHealth Manager)
Type his or her title/position as Manager PhilHealth
Type address of PhilHealth
Date letter was Written
Dearest Sir/Ma`am, I am (insert your name), a member of PhilHealth for (number of years) years, and respectfully requesting your good office to remove my former husband as one of my dependents in accordance to my appeal for my PhilHealth Member Data Amendment due to Legal Separation or Marriage Annulled. Our marriage was annulled last (Date of Marriage Annulment) and I am attaching the following documents at your perusal:
- Original or Certified True Copy of annulment papers
- Duly accomplished PhilHealth Member Registration Form (PMRF)
I would appreciate your assessment of my case and I am looking forward to hearing from you and grant my request.
Thank You Very Much and More Power.
Sincerely Yours,
Type Your Signature
Type Your printed name
You may contact me regarding my PhilHealth Member Data Amendment due to Legal Separation or Marriage Annulled at the following contact details:
Home/Business Number:
Cellphone Number:
Email Address:
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