GOVPH

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)

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)

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)

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)

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)

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)

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)

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

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)

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