Menu

Philippine Standard Time:

CIS/AICS ASSISTANCE REQUIREMENTS

As a general rule, the beneficiary or the authorized representative shall submit a copy of their VALID ID.

A person who is acting as an authorized representative of the beneficiary shall present an authorization letter duly signed by the beneficiary, and photocopy of the beneficiary ID except when the;

1. Client is an immediate family member of the beneficiary; or
2. Beneficiary is a minor; or
3. Beneficiary has without any capacity to act


MEDICAL ASSISTANCE – HOSPITAL BILL

  • Medical Abstract / Certificate (1 Original, 1 Photocopy)
  • Updated Hospital Bill (1 Original, 1 Photocopy)
  • Valid ID (1 Valid ID, 2 Photocopies)
  • Authorization Letter (if client is NOT an immediate family member)

IF NEEDED AMOUNT IS MORE THAN P10,000.00
• Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – LABORATORIES / DIAGNOSTIC PROCEDURES

  • Medical Abstract / Certificate (1 Original, 1 Photocopy)
  • Doctor’s Laboratory Request (2 Photocopies)
  • Charge Slip / Quotation from Hospital (2 photocopies)
  • Valid ID (1 Valid ID, 2 Photocopies)
  • Authorization Letter (if client is NOT an immediate family member)

IF NEEDED AMOUNT IS MORE THAN P10,000.00
• Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – MEDICINES

  • Medical Abstract / Certificate (1 Original, 1 Photocopy)
  • Prescription / Reseta (2 Photocopies)
  • Valid ID (1 Valid ID, 2 Photocopies)
  • Authorization Letter (if client is NOT an immediate family member)

IF NEEDED AMOUNT IS MORE THAN P10,000.00
• Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – ASSISTIVE DEVICES

  • Medical Abstract / Certificate (1 Original, 1 Photocopy)
  • Doctor’s Request (2 Photocopies)
  • Charge slip from pharmacies or medical supplies and equipment store (2 photocopies)
  • Authorization Letter (if client is NOT an immediate family member)
  • Quotation
  • Valid ID (1 Valid ID, 2 Photocopies)

IF NEEDED AMOUNT IS MORE THAN P10,000.00
• Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – CHEMOTHERAPY

  • Medical Abstract / Certificate (1 Valid ID, 2 Photocopies)
  • Cost Estimate/Charge Slip – (1 Original, 1 Photocopy)
  • Authorization Letter (If client is NOT an immediate family member)
  • Valid ID (1 Valid ID, 2 Photocopies)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – THERAPY

  • Valid ID (1 Valid ID, 2 Photocopies)
  • Medical Abstract / Certificate (1 Valid ID, 2 Photocopies)
  • Cost Estimate/Charge Slip – (1 Original, 1 Photocopy)
  • Authorization Letter (If client is NOT an immediate family member)
  • IF NEEDED AMOUNT IS MORE THAN P10,000.00
  • Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – FUNERAL SERVICES

  • Death Certificate or Temporary Death Certificate (2 Photocopies)
  • Funeral Service Contract (1 Original, 1 Photocopy)
  • Valid ID (1 Valid ID, 2 Photocopies)
  • Authorization Letter (If client is NOT an immediate family member)
  • IF NEEDED AMOUNT IS MORE THAN P10,000.00
  • Social Case Study Report (CSWDO/MSWDO)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


MEDICAL ASSISTANCE – BURIAL SITE

  • Death Certificate or Temporary Death Certificate (2 Photocopies)
  • Statement of Account/Quotation (1 Original, 1 Photocopy)
  • Valid ID (1 Valid ID, 2 Photocopies)
  • Authorization Letter from immediate family of the deceased (If client is NOT an immediate family member)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


EDUCATIONAL ASSISTANCE

  • Valid ID (1 Valid ID, 2 Photocopies)
  • Any document issued by the school that can establish the student is enrolled

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING
3. Observe 3 MONTHS VALIDITY of medical documents


FOOD ASSISTANCE

  • Valid ID
  • Any document / record that can prove that the beneficiary is in crisis / in need of food assistance

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING
3. Observe 3 MONTHS VALIDITY of medical documents


TRANSPORTATION ASSISTANCE

  • Valid ID (1 Valid ID, 2 Photocopies)
  • Medical Abstract or Certificate (1 Original, 1 Photocopy)
  • Referral slip/Letter to higher hospital
  • Death Certificate (1 Original, 1 Photocopy)
  • Authorization Letter (If client is NOT an immediate family member)
  • Depending on the Applicable Circumstances, Other supporting document(s)

REMINDERS:
1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents


FOR OTHER CASH ASSISTANCE

  • Valid ID (1 Valid ID, 2 Photocopies)
    • OTHER SUPPORTING DOCUMENTS:
      1. Police Blotter
      2. BFP Report
      3. Travel Documents
      4. Death Certificate
      5. Disaster Assistance Family Access Card (DAFAC)
      6. Barangay Certificate of residency or Certificate of Indigency/ Certificate of the Client is in need of any assistance/ Other Documents, In the absence of any of the documents enumerated

FINANCIAL ASSISTANCE

If the amount of assistance being requested exceed Php10,000.00 the assistance will be provided through a GL, and the following shall be required as additional document:
1. SCSR/Case Summary from the LSWDO or the DSWD SWO or Medical Social Worker in hospitals or Social Worker of the NGO’s

  • Valid ID (1 Valid ID, 2 Photocopies)
  • Medical Abstract or Certificate (1 Original, 1 Photocopy)
  • Referral slip/Letter to higher hospital
  • Death Certificate (1 Original, 1 Photocopy)
  • Authorization Letter (If client is NOT an immediate family member)
  • Depending on the Applicable Circumstances, Other supporting document(s)

1. Kindly bring the ORIGINAL documents and secure 2 PHOTOCOPIES
2. Check the COMPLETENESS and CORRECTNESS of SPELLING (Names, Dr.’s Full Name, Signature, License No.)
3. Observe 3 MONTHS VALIDITY of medical documents