Covid-19 Compensation Registration

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COVID-19 COMPENSATION

REGISTRATION
𝐍𝐎𝐓𝐄: 𝐏𝐋𝐄𝐀𝐒𝐄 𝐁𝐄 𝐈𝐍𝐅𝐎𝐑𝐌𝐄𝐃 𝐓𝐇𝐀𝐓 𝐓𝐇𝐄 𝐋𝐀𝐒𝐓 𝐃𝐀𝐘 𝐎𝐅 𝐑𝐄𝐆𝐈𝐒𝐓𝐑𝐀𝐓𝐈𝐎𝐍 𝐅𝐎𝐑 𝐓𝐇𝐄
𝐂𝐎𝐕𝐈𝐃-𝟏𝟗 𝐂𝐎𝐌𝐏𝐄𝐍𝐒𝐀𝐓𝐈𝐎𝐍 𝐅𝐎𝐑 𝐇𝐄𝐀𝐋𝐓𝐇 𝐖𝐎𝐑𝐊𝐄𝐑𝐒 𝐈𝐒 𝐎𝐍 𝐌𝐀𝐘 𝟑𝟏, 𝟐𝟎𝟐𝟏

Thanks for submitting your contact info! Below are the following requirements:

FOR MILD/MODERATE AND SEVERE/ CRITICAL

1. Original Copy of the Updated Service Record or CertiRcate of Employment, or Proof of


Contract of Service
2. If Hospitalized, CertiRed True Copy of Comprehensive Medical/Clinical Abstract or
Discharge Summary signed by the Attending Physician (INDICATE SPECIFIC SYMPTOMS
MANIFESTED DURING ADMISSION);
3. If Home/Facility Quarantined, CertiRed True Copy of the Medical CertiRcate indicating the
speciRc symptoms and duration of isolation Issued by Appropriate Epidemiology
Surveillance O\cer. In lieu of Medical CertiRcate issued by the Local Government Unit (LGU)
/ Hospital, submit CertiRed True Copy of the Monitoring Sheet signed by the Attending
Physician (INDICATE SPECIFIC SYMPTOMS MANIFESTED DURING ISOLATION)
4. CertiRed True Copy of Positive Molecular and Diagnostic Pathology Test Result issued by
DOH Accredited Laboratory
5. Photocopy of two (2) Government Valid ID's of the Claimant (Passport, Driver's License,
GSIS or SSS UMID, Philhealth, Postal, PRC, Sr. Citizen's, OFW ID, and Voter's)
6. CertiRed True Copy of the JustiRcation or CertiRcate of Actual Job Duties /
Responsibilities when the Health Worker contracted the disease. In addition, the copy
should be signed by the immediate supervisor
7. Photocopy of the front page of their ATM Card with the signature of the claimant, if
payroll is with Landbank

ADDITIONAL REQUIREMENTS FOR SEVERE/CRITICAL CASES

1. CertiRed True Copy of the Arterial Blood Gas (ABG) Result


2. CertiRed True Copy of the X-RAY Result

FOR DEATH CASES

1. PSA Copy or PSA Authenticated Copy of Death CertiRcate


2. PSA Copy of Marriage CertiRcate, if one of the claimants is the surviving spouse
3. PSA Copy of Birth CertiRcate of Minor Child/Children issued by the PSA (if any)
4. PSA Copy of Birth CertiRcate of surviving children (aged 18 and beyond), if the claimant is
one of the surviving children.
5. Notarized Copy of the A\davit of Surviving Legal Heir
6. Notarized Special Power of Attorney, if applicable
7. Original Copy of A\davit of Guardianship of minor or incapacitated child/children, if
applicable
8. Photocopy of Two (2) Government valid ID’s of the Deceased (Passport, Driver's License,
GSIS or SSS UMID, Philhealth, Postal, PRC, Sr. Citizen's, OFW ID, and Voter's)
9. Authenticated Copy of CertiRcate of Finality of Annulment/Nullity or Annotated Marriage
Contract/ CertiRcate issued by PSA, if applicable

Note: In determining the eligibility and entitlement of the claimant to the compensation,
DOH reserves the right to require the latter to submit additional relevant documents.

Please send the scanned copy of requirements to:

[email protected]

For any queries please call (8) 651-7800 loc. 1806, 1809, 1812

Maraming salamat po!

Malasakit Program O\ce (MPO)

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