PHIC PHILHEALTH CIRCULAR NO. 11, S. 2004

: The primary purpose is to authorize certain individuals to sign the PhilHealth Claim Form 1 on behalf of the member when the member is unavailable, ensuring claims processing can continue smoothly.
: The legal spouse is authorized to sign on behalf of the member if the member is married and unavailable.
: If the legal spouse is unavailable, the child who is 18 years old or above may sign the claim form.
: The parent (mother or father) is authorized to sign in the absence of both the spouse and child.
: The parent (mother or father) can sign on behalf of a single member who is unavailable.
: If the single member is orphaned, a brother, sister, or guardian can sign the claim form on their behalf.
: The reason why the person is signing on behalf of the member must be stated in the form or in a certification on a separate sheet of paper.
: A photocopy of the authorized signatory's identification card and/or proof establishing the relationship with the member must be attached to the claim.
: The full name, complete address, and contact number(s) of the signatory must be legibly written either in the form or on a separate sheet of paper.
: PhilHealth recognizes that some members, especially employed individuals, may be assigned to areas outside their head office and away from their families, making it impossible for them to sign the claim form during a dependent's confinement.