Authorization Letter for PhilHealth – Sample & Template

3512

AUTHORIZATION LETTER FOR PHILHEALTH

The Authorization Letter for PhilHealth is a legal document for someone you authorized to request an update or releasing any information about your PhilHealth member status. With this letter, you can request and process your documents 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. In this letter, it requires you to attach your two valid IDs and specimen signature.

SAMPLE

July 25, 2016

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, and I hereby authorize the processing and releasing of my PhilHealth member information update with the PhilHealth number 190001874512 to Mr. Ronaldo A. Peñaflor. 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-
Jessica A. Peñaflor



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]

Letter Template: .pdf 

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.

0 0 vote
Article Rating
Subscribe
Notify of
guest
0 Comments
Inline Feedbacks
View all comments