REMINDERS
An employer requesting for data amendment which was previously presented to the Corporation, must fill-out this
form in duplicate copies together with the following supporting documents whichever is applicable:
1.
CHANGE OF BUSINESS NAME
a.
b.
c.
d.
2.
CORRECTION OF BUSINESS NAME
a.
b.
c.
3.
b.
Single Proprietorship to Corporation
ƒ
Article of Incorporation duly received by SEC; and
ƒ
Approved application for Business Retirement as Single Proprietor
Partnership to Corporation
ƒ
Article of Incorporation duly received by SEC; and
ƒ
Deed of Dissolution of Partnership approved by SEC
TEMPORARY SUSPENSION OF OPERATION
a.
b.
c.
d.
5.
Single Proprietorship
ƒ
Certificate of Registration of Business Name from Department of Trade and Industry (DTI)
Partnership and Corporation
ƒ
Certificate of Registration from Securities and Exchange Commission (SEC); or
ƒ
Articles of Partnership/incorporation duly received by SEC
Cooperative
ƒ
Certificate of Registration from Cooperative Development Authority (CDA); and
ƒ
Articles of Cooperation duly received by CDA
CHANGE OF LEGAL PERSONALITY
a.
4.
Single Proprietorship
ƒ
Certificate of Registration of Business Name from Department of Trade and Industry (DTI)
Partnership
ƒ
Amended Articles of Partnership duly received by Securities and Exchange Commission (SEC)
Corporation
ƒ
Amended Article of Incorporation duly received by Securities and Exchange Commission (SEC)
Cooperative
ƒ
Amended Article of Cooperation duly received by Cooperative Development Authority (CDA)
Bankruptcy
ƒ
Financial Statement or
ƒ
Income Tax Return (ITR) for the year showing non-operation/no earnings or
ƒ
Board Resolution
Separation of employee/s
ƒ
Report on the Separation of the last employee/s and
ƒ
Separation paper of last employee
Fire / Demolition / Flood
ƒ
Certification from the Fire Department of the municipality, or
ƒ
Certification from City Hall
Strike
ƒ
Notice of Strike duly license by DOLE
Termination / dissolution
a.
b.
c.
d.
For single proprietorship
ƒ
Approved Application of Business Retirement by the Municipal Treasurer's Office.
ƒ
Certification of Non-Operational of Business from the Municipal Treasurer’s Office / BIR
For Partnership or Corporation
ƒ
Deed of Dissolution approved by the Securities and Exchange Commission (SEC) or
ƒ
Certification of Non-Operational of Business from SEC/BIR or
ƒ
Minutes of Meeting certified by the Corporate Secretary.
Cooperative
ƒ
Dissolution of Cooperative duly received by Cooperative Development Authority (CDA) or
ƒ
Minutes of the meeting duly certified by the Secretary; or
ƒ
Certification of Non-Operational of Business from CDA/BIR
Death of Owner
ƒ
Death Certificate
6.
MERGER / CONSOLIDATION
ƒ
Deed of Merger/Merger Agreement duly certified by SEC
ƒ
Memorandum of Agreement filed with SEC.
7.
CHANGE OF OWNERSHIP
a.
b.
8.
Note:
Sale
ƒ
Deed of Sale/Transfer/Assignment signed by both parties, or
ƒ
In its absence, Certification from the Registry of Deeds, if applicable
Death of Managing Owner (family business)
ƒ
Death Certificate of the managing owner and waiver from the other legal heirs
RESUMPTION OF OPERATION
ƒ
Notice of Resumption of Operation from the employer, and
ƒ
List of Employees
The registrant may submit a photocopy of any of the above-mentioned documents but the original or
Certified True Copy (CTC) of the document should be presented to PhilHealth for cross checking.