PhilHealth Contribution Certification Request: Template & Guide

Your Name

Your Address

City, State, ZIP Code

Email Address

Phone Number

Date

Health Insurance Corporation of the Philippines

Department of Health

East Avenue, Diliman, Quezon City, 1100

Philippines

Attention: Records and Information Management Division

Re: Request for Certification of PhilHealth Contribution

Dear Sir/Madam,

I hope this letter finds you well. I am writing to kindly request a certification of my PhilHealth contribution. I am a registered member and contributor to the Philippine Health Insurance Corporation (PhilHealth) and am currently in need of this document for official purposes.

I would greatly appreciate if you could provide me with a duly signed and stamped copy of the certification of contribution, indicating the following details:

1. Name:

2. PhilHealth Member Number:

3. Coverage Period:

4. Total Amount Contributed:

5. Date of Contribution:

I would be most grateful if you could send the certification to the following address:

**[Your Address]

[City, State, ZIP Code]

I may also be contacted via email at [Email Address] or at [Phone Number] should you require any additional information or clarification.

I kindly request your urgent attention to this matter, as I need this document as soon as possible. Your assistance in this regard would be greatly appreciated.

Thank you for your time and consideration. I look forward to receiving the requested certification at your earliest convenience.

Sincerely,

[Your Name]